Sepsis hospitalizations are on the rise and cost Medicare more than $40 billion in 2018, according to a U.S. Department of Health and Human Services (HHS) study.
The nuances of documenting and billing for observation services can trip up even the savviest organization. Get a refresher on the basics to ensure your organization avoids common pitfalls.
This week’s Medicare updates include an article on billing and payment provisions for therapy services under PDGM, an update to the list of DMEPOS items that require prior authorization, a new code to use for coronavirus lab tests, and more!
A recent audit conducted by the Office of Inspector General (OIG) found that the majority of healthcare providers reviewed used Medicare Part D eligibility information for potentially inappropriate purposes.
Over 20% of commercially insured adults who underwent a common in-network surgical procedure between January 2012 and September 2017 received surprise charges for the episode from out-of-network clinicians, according to a recent study published in JAMA.
Now that training gaps have been identified, training development can begin. Some topics to consider here are subject matter experts, training delivery method, and the use of outside vendors.
Q: I work for a pharmaceutical company. I am aware of the more obvious identifiers, but are patient diagnoses or ICD-10 codes (without any other identifiers such as dates of birth or Social Security numbers) considered PHI? I have heard arguments on both sides.
The Patient-Driven Payment Model has shaken up skilled nursing facility (SNF) billing and coding. Learn the ins and outs of PDPM and how it will affect your organization.
