News & Analysis

June 19, 2024
Briefings on APCs

Make sure staff who handle audit requests understand when a missing signature should — or should not — trigger an automatic denial of your claims or prior authorization requests. Recent guidance from CMS clarifies how auditors should proceed when a medical record lacks a signature.

June 12, 2024
Briefings on HIPAA

Cybersecurity has dominated headlines recently with a series of significant breaches highlighting the vulnerabilities within the U.S. healthcare sector.

June 12, 2024
Medicare Insider

This week’s Medicare updates include the OIG’s latest semiannual report to Congress, the third quarter NCCI edit files, and more!

June 5, 2024
Medicare Insider

This week’s Medicare updates include an OIG report on Medicare vulnerabilities related to off-the-shelf orthotic braces, a revised MLN Fact Sheet on swing bed services, and more!

June 5, 2024
Briefings on APCs

Hamilton Lempert, MD, FACEP, CEDC, reviews the basics of CPT critical care services and addresses common reporting questions, such as services that pass midnight, continuous care, and which clinical tasks count toward critical care.

May 15, 2024
Medicare Insider

This week’s Medicare updates include a proposed rule on the Increasing Organ Transplant Access payment model, a resource on Part B drug payment limits, and more!

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