The hospital/health system revenue cycle has a significant role in hospital billing compliance. The billing department is the final gatekeeper for compliance, as it is the final area to touch a bill before it is sent to Medicare. Therefore, it is essential that billing staff understand key compliance risk areas.
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.