Various analyses must be conducted to maintain compliance, assist with charge capture, solve account edits, and review any possible coding trends or issues that may cause claim delays, denials, or unnecessary rework. Learn how to effectively leverage this data to improve processes and protect revenue.
This week’s Medicare updates include the 2023 update to the KX modifier threshold amounts, revisions to language in the Medicare Claims Processing Manual regarding instructions for billing hospital Part B inpatient services, enrollment application information for rural emergency hospitals, and more!
Coding and billing professionals must ensure that medical record information is accurate, up to date, and compliant. In this article, Holly Cassano, CPC, CRC, defines late entries, corrections, and addendums, and explains the proper methods used to alter health records while maintaining Medicare compliance.
A CDI program’s ability to expand is directly dependent on current resources or immediate budgeted resources. Apply these tips to guide your organization's outpatient and ambulatory CDI strategies.
Maternal mortality is not the only pregnancy-related issue case managers will likely encounter. Perinatal mortality, a combined measure of fetal deaths after 20 weeks and infant deaths shortly after birth, is a profound trauma that may affect patients as well.
