Coding audits are essential to ensuring compliance but without defined processes these audits may lack focus and consistency. Understand how to create strong processes for targeted, consistent, and accurate coding audits.
Tiffany Ferguson, LMSW, ACM, and Marie Stinebuck, MBA, MSN, ACM, CEO and COO at Phoenix Medical Management Inc., discuss why the best strategy to prevent denials related to medical necessity is a proactive approach that focuses on front-end processes.
This week’s Medicare updates include the quarterly update to the clinical laboratory fee schedule, the quarterly update to the ESRD PPS, changes to the manual regarding pneumococcal vaccines, and more!
Martin Fisher has been the director of information security and chief information security officer for Atlanta-based Northside Hospital for more than eight years. He discusses what’s top of mind in his role and what challenges lay ahead.
Dave Bailey, CISSP, knows firsthand what challenges arise daily for healthcare security officials. He explains what is on the minds of CIOs/CISOs and the security lessons learned from the COVID-19 pandemic.
Among the proposed changes, many of which affect quality and data reporting programs, are proposed changes to claims data used for rate setting, a delay of the three way split criteria for Medicare Severity Diagnosis-Related Groups (MS-DRG), and more. Understand major proposals and their potential impact and how to provide feedback to CMS.
