Q: Do we need to monitor Medicare's additional documentation requests (ADR) as part of our denials management program?
Despite facing potential lawsuits and political opposition, CMS finalized some of its most controversial proposals in the 2019 OPPS final rule by implementing several site-neutral payment policies and 340B drug payment reductions.
Follow the steps a hospital should consider when submitting a redetermination request to a Recovery Auditor.
Q: What is the difference between the two types of Remittance Advice Remark Codes (RARC)?
Take a look at the appeal process from the perspective of a hospital that submitted a redetermination request after a claim for cataract surgery was reopened.
Follow in the footsteps of leading organizations and get the most out of your denial programs with these four steps.