Medical decision-making (MDM) documentation has gained increased importance in recent years to justify a visit’s medical necessity. Review CMS’ MDM table and guidelines to take the guesswork out of your coding.
This week’s Medicare updates include the 2025 Home Health Prospective Payment System proposed rule, a list of Part B drugs with a lower coinsurance for next quarter, and more!
CMS recently finalized a multitude of new price transparency requirements in the 2024 Outpatient Prospective Payment System (OPPS) final rule. These requirements have staggered enforcement deadlines, which means that revenue integrity professionals have their work cut out for them in the coming year to ensure their organization is in compliance.
This week’s Medicare updates include a final rule on Part D health information technology standards, an FAQ on hospital price transparency requirements commencing July 1, and more!
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.
