A policy that UnitedHealthcare was poised to roll out that would have allowed it to retroactively deny ED claims isn’t moving forward yet. But that doesn’t mean case managers shouldn’t prepare for the payer, or others, to implement such policies.
CMS announced another round of changes to its Bundled Payments for Care Improvement program recently and said that while participation thus far has been voluntary, it may become mandatory starting as early as 2024.
The Office for Civil Rights (OCR) recently agreed to a settlement with a clinical laboratory over potential HIPAA Security Rule violations. Read about what led to the settlement and how your facility can avoid similar compliance risks.
This week’s Medicare updates include download files for the 2022 ICD-10-CM codes, the July 2021 update of the Ambulatory Surgical Center Payment System, revised guidance on emergency preparedness requirements, and more!
This week’s Medicare updates include billing information for a new monoclonal antibody treatment for COVID-19, additional items on the OIG Work Plan, an MLN fact sheet on billing for cardiac device credits, and more!
Audit results should be packaged to be meaningful and easy to follow. Apply these tips to create audit packages that providers will get the most out of.
