CMS is extending its enforcement discretion period for its laboratory date of service (DOS) exception policy to January 2020.
Q: How can case managers better define and differentiate between a patient's capacity and a patient's competence?
Q: What are the pros and cons of conducting a 100% retrospective charge segregation review for clinical trial claims?
Large-scale data breaches in the healthcare industry show no sign of decreasing. In this mid-year recap, we discuss the largest breach of 2019.
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is key to revenue integrity success. Understanding its benefits and limits is important for any successful revenue integrity program.
Q: What is the appropriate ICD-10-CM code assignment for acute cellulitis in a patient with Type 2 diabetes?
