This week’s Medicare updates include the 2023 Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) proposed rule, the 2023 Inpatient Rehabilitation Facility PPS proposed rule, the 2023 Hospice Payment Rate Update proposed rule, and more!
According to the Office for Civil Rights, the most commonly alleged HIPAA complaints include impermissible uses and disclosures of protected health information (PHI), lack of PHI safeguards, lack of patient access to PHI, lack of administrative safeguards of electronic PHI, and use or disclosure of more than the minimum necessary PHI.
Denials management has gained new urgency as payers adopt more aggressive tactics and hospitals continue to face revenue shortfalls. Learn how organizations are structuring denials management and reporting denials and appeals data.
Certain provider services such as acupuncture and cosmetic surgery are not reimbursed by Medicare. This article describes when and how to apply HCPCS modifiers for non-covered services.
Facilities can limit their exposure to claim denials and external reviews by implementing a robust internal coding compliance program. This article breaks down components of a coding policy and compliance plan and approaches to monitoring coding quality.
