Accurate revenue code selection affects concerns central to the operations of healthcare provider organizations such as compliance and reimbursement. Apply this expert advice to ensure revenue codes are correctly assigned.
This week’s Medicare updates include information on systematic validation edits for OPPS providers with multiple service locations, draft guidance on the new Medicare Prescription Payment Plan, and more!
Medical necessity is a term used to describe the need and justification for services a patient will receive, including diagnostic studies or therapeutic treatment. Understand how Medicare defines the term and what requirements must be met.
Our experts answer questions about documentation requirements for CPT debridement codes, sequencing social determinants of health ICD-10-CM codes, and more.
As case managers review the medical record and interview the patient, family, and medical team, they must dig deep and ask hard questions to ensure any unforeseen financial or medical needs are met.
