Editor's note: Andrea Clark-Rubinowitz, RHIA, CCS, CPCH, has more than 30 years of experience working with healthcare professionals, information systems, hospital coding, and operational and compliance training. She founded and led Healthcare Revenue Assurance Associates from 2001 to 2014. Contact her at 954-465-0968 or aclark5678@gmail.com.
CMS has instructed MACs to reprocess claims and providers to reimburse beneficiaries due to a miscalculated copayment for stereotactic radiosurgery, according to the October update to the OPPS and Integrated Outpatient Code Editor (I/OCE).
This week’s updates include updated information on the hospital appeals settlement offer and adjustments to amount in controversy threshold for CY 2015. Click the link above to read more about this week’s updates.
This week’s note is about recent updates from Medicare on related claims denials and the settlement process. Click the link above for more information and an in-depth analysis.
