Root cause analysis of edits and an understanding of the relationship between the chargemaster and HIM/coding must be supported by overarching principles and best practices for edit management. Processes should be built around the timing of edits, applying edits across payers, and denial management.
This week’s Medicare updates include an OPPS update; guidance on coding and billing date of service on professional claims; CMS’ efforts to support Puerto Rico and the U.S. Virgin Islands in the wake of Hurricane Maria; and more!
This week’s Medicare updates include information on submitting claims to Medicare for beneficiaries in Florida affected by Hurricane Irma; annual HCPCS updates for SNFs; FY 2018 IPPS and LTCH PPS updates; and more!
