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!
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.
A former nurse is now facing prison time after being convicted of negligent homicide and impaired adult abuse for a medical error that led to a patient’s death.
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.
This week’s Medicare updates include a proposed rule implementing certain provisions of the Consolidated Appropriations Act of 2021, a final rule for the CY 2023 policy and technical changes to Medicare Advantage and Part D plans, three OIG advisory opinions, and more!
