Analyzing data that comes from claim scrubber edits, return to provider edits, variances, and denials can provide insight into repetitive issues that delay the processing of a claim or lead to denials. Use these tips to improve your organization's pre-billing analysis processes.
This week’s Medicare updates include changes to COVID-19 vaccine codes, the July 2023 update to the ASC Payment System, instructions for the MPFS look-up tool, and more!
The Office of Management and Budget recently approved new versions of the Important Message from Medicare, Detailed Notice of Discharge, and Medicare Outpatient Observation Notice.
Regular charge reconciliation is a cornerstone of complete, compliant reimbursement but is a common weak point for hospitals. Apply these tips to support clinical staff responsible for charge reconciliation and improve charge capture.
Our experts answer questions about reporting E/M codes for ED patients with chronic illnesses and choosing the right CPT code for a laparoscopic prostatectomy.
