An efficient, effective revenue integrity program is an important part of protecting revenue and driving process improvements. Use these tips to ensure your program is reaching peak performance.
Preceptors, always an important component of a case management department, have taken on new importance. The nursing shortage’s impact on case management departments has heightened the need for enhanced recruitment and necessitated multiple orientees and orientations throughout the year.
Medicare finalized a care management service for chronic pain management (CPM). Effective January 1, CPM services can be reported by a wide range of providers, including primary care practitioners.
In September, the Office for Civil Rights (OCR) released its fall 2022 data for enforcement. Covered entities (CE) and business associates (BA) can review this data to determine areas that most commonly trigger enforcement on behalf of the government’s regulator for the HIPAA Privacy and Security rules.
CMS confirmed in the 2023 Medicare Physician Fee Schedule final rule that it will adopt the framework of the revised AMA E/M guidelines, including payment based on medical decision-making (MDM) or time, effective January 1, 2023. Laura Evans, CPC, explains how the agency will diverge from the AMA on some points, however.
