Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, unpacks local and national medical necessity standards and best practices for avoiding denials due to inadequate documentation.
This week’s Medicare updates include the FY 2023 SNF PPS Proposed Rule, the renewal of the COVID-19 PHE, updated code descriptors for the Prior Authorization for Certain Hospital Outpatient Department Services program, and more!
This week’s Medicare updates include the quarterly Medicare Provider Compliance Newsletter, the rescinding of some of the COVID-19 PHE waivers, the 2023 Medicare Advantage and Part D Rate Announcement, and more!
This week’s Medicare updates include the 2023 Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) proposed rule, the 2023 Inpatient Rehabilitation Facility PPS proposed rule, the 2023 Hospice Payment Rate Update proposed rule, and more!
Facilities can limit their exposure to claim denials and external reviews by implementing a robust internal coding compliance program. This article breaks down components of a coding policy and compliance plan and approaches to monitoring coding quality.