CDI professionals are playing a larger role in denials management and appeals. Consider how using denials management as a key performance indicator (KPI) can strengthen CDI programs.
The agency is proposing methods to alleviate burden on hospitals that have been under strain for the past year, while also asking for feedback that may shape future data reporting and rate-setting.
This week’s Medicare updates include a fact sheet on provider documentation to facilitate collaborative care, an OIG review of CMS payments for end-stage renal disease monthly capitation payments, a new OIG FAQ item on enforcement discretion during the COVID-19 PHE, and more!
Joe Rivet, Esq., CCS-P, CPC, CEMC, CPMA, CICA, CHRC, CHPC, CHEP, CHC, CICA, CAC, CACO, looks at the implications of a recent OIG brief on how Medicare Advantage organizations could use national provider identifiers (NPI) to monitor for fraud, waste, and abuse.
In the U.S., tympanostomy tube insertion is the most common ambulatory surgery performed on children under 15, according to StatPearls. Debbie Jones, CPC, CCA, reviews common types of ear infections and CPT coding for myringotomies with tympanostomy tube insertion.
Ensuring patients are being treated with the right level of care helps facilities allocate resources appropriately and keeps costs lower for patients and health systems.
