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.
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.
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.
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.
This week’s Medicare updates include guidance on the COVID-19 public health emergency conclusion, the quarterly update to the Clinical Laboratory Fee Schedule, and more!