This week’s Medicare updates include changes to the list of codes requiring prior authorization, an advance copy of implementation information for the Interoperability and Patient Access Final Rule, a resolution to an edit regarding DRG weights, and more!
National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUE) can throw a wrench in the Medicare billing process, delaying appropriate revenue. Learn how to apply recent guidance and best practices to resolve challenging edits.
This week’s Medicare updates include an extension to the Comprehensive Care for Joint Replacement model, updates to payments for ambulance services during the PHE, increased payments for monoclonal antibodies, and more!
Proper use of suspense, or hold, periods can ensure claims are complete and accurate before they go out the door. But without careful monitoring and limits, these periods can create more problems than they solve. Take a look at the hows and whys of suspense periods to ensure your organization is using them appropriately.
This week’s Medicare updates include the 2022 IPPS proposed rule, a handful of cost reporting form updates, an MLN Booklet on using the Medicare Physician Fee Schedule look-up tool, and more!
It’s always been easy to show financial return on investment for inpatient CDI endeavors, but the monetary value of outpatient programs is increasing dramatically year after year, making outpatient CDI reviews more attractive to many healthcare organizations.
