Although certain functions and goals are common to most revenue integrity programs, how they’re accomplished, and even their specific focus, depends on the organization. Apply these tips to develop a program that suits your organization's needs.
This week’s Medicare updates include a proposed decision memo on Medicare coverage for an Alzheimer’s treatment, the renewal of the COVID-19 PHE, a transmittal implementing updates for telehealth services for 2022, and more!
Case management departments are experiencing a paradigm shift due to the COVID-19 pandemic as skilled nursing facility placements are becoming more difficult to secure.
Having a good lawyer often comes in handy. Having a lawyer who understands HIPAA and works well with your HIPAA compliance officers, though, is priceless.
Regular monitoring and internal auditing are critical to ensure compliance throughout the revenue cycle. Apply this tips and best practices to improve internal audits and support compliance.
This week’s Medicare updates include an OIG data brief on Part B spending on lab tests in 2020, a new HCPCS code for Remdesivir, a proposed rule on policy and technical changes for Medicare Advantage and Part D plans, and more!
Telehealth services offered during the pandemic succeeded in preserving a degree of access to healthcare throughout the public health emergency—particularly in the area of behavioral health, according to a new report.
This week’s Medicare updates include the April 2022 update to the ICD-10-CM code set, a final rule on graduate medical education and organ procurement policies, an update to prior authorization requirements, and more!
Acute respiratory distress syndrome (ARDS) and sepsis are complex diagnoses that are a frequent target of denials. Use these tips to improve coding and documentation for these conditions and avoid denials.
What will 2022 hold for healthcare? If you asked people in the beginning of 2020 whether we’d still be grappling with the COVID-19 pandemic two years later, most would have probably told you no.
