CMS recently revised the evaluation and management (E/M) coding guidelines for inpatient providers. Understand the far-reaching effects of the changes and how to ensure your organization is in compliance.
Ronald Hirsch, MD, FACP, CHCQM, CHRI, vice president of the Regulations and Education Group at R1 RCM Inc. Physician Advisory Solutions, answers questions on the Medicare Outpatient Observation Notice (MOON) and 2-midnight rule.
As the adoption of digital technologies, such as telehealth and electronic health records, increases, organizations face evolving cybersecurity threats that have the potential to compromise patient data and disrupt healthcare operations.
Payer audits are likely to pick up steam as the COVID-19 public health emergency expires. Experts share tips for managing audits and what types of claims payers may focus on.
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.