Although the inpatient-only list has evolved over the years it's remained a common source of easily avoidable denials. Brush up on the details of the requirement to improve compliance at your organization.
This week’s Medicare updates include a revised MLN booklet on chronic care management services, the October 2022 update of the Ambulatory Surgical Center Prospective Payment System, an OIG review of Part B overpayments, and more!
A physician advisor (PA) can be a powerful ally for case managers. Organizations should be certain to take full advantage of what this role can offer by structuring the position properly.
A report released last month by the American Hospital Association (AHA), called Commercial Health Plans’ Policies Compromise Patient Safety and Raise Costs, found that not only is the cost of private health insurance raising affordability issues for American consumers, but policies, such as prior authorization requirements, may increasingly be putting patients at risk and driving up hospital administrative costs.
