The GPDC Model is getting a new name and a new purpose. It’s being renamed the ACO REACH Model. It also has a new focus of improving care for Medicare participants through better coordination.
Denials management has gained new urgency as payers adopt more aggressive tactics and hospitals continue to face revenue shortfalls. Learn how organizations are structuring denials management and reporting denials and appeals data.
According to the Office for Civil Rights, the most commonly alleged HIPAA complaints include impermissible uses and disclosures of protected health information (PHI), lack of PHI safeguards, lack of patient access to PHI, lack of administrative safeguards of electronic PHI, and use or disclosure of more than the minimum necessary PHI.
This week’s Medicare updates include the 2023 Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) proposed rule, the 2023 Inpatient Rehabilitation Facility PPS proposed rule, the 2023 Hospice Payment Rate Update proposed rule, and more!
Facilities can limit their exposure to claim denials and external reviews by implementing a robust internal coding compliance program. This article breaks down components of a coding policy and compliance plan and approaches to monitoring coding quality.
