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.
Sepsis is a systemic, deleterious response to infection that can lead to severe sepsis and septic shock. Brush up on sepsis criteria and documentation and coding guidelines.
The 2023 update to the CPT manual had almost every chapter undergoing some form of change. In this article, Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT, delves into some of the major changes to E/M coding and considerations for documentation integrity.
This week’s Medicare updates include an FAQ on the PHE conclusion, a fact sheet on hospital price transparency enforcement updates, HCPCS application summaries and coding recommendations, and more!
