This week’s Medicare updates include a final rule on COVID-19 vaccination requirements for healthcare staff, guidance on modifier -JZ, coverage guidelines for Alzheimer’s drugs, and more!
Healthcare providers know that denials are not a matter of if, but when. One way to prevent and manage denials is by looking for opportunities to involve other departments.
Clinical validity denials occur when there is a lack of clinical evidence in the patient chart to support a billed diagnosis. Learn more about common reasons for these denials and how to defend against them.
CMS developed the National Correct Coding Initiative (NCCI) to control improper coding and potentially inappropriate payment of Part B services. Review NCCI basics to ensure compliance with the latest coding policies.
Coding and billing professionals must ensure that medical record information is accurate, up to date, and compliant. In this article, Holly Cassano, CPC, CRC, defines late entries, corrections, and addendums, and explains the proper methods used to alter health records while maintaining Medicare compliance.
