Many case management and finance departments have been busy with appeal activities since CMS resumed its regulatory audits on August 3, 2020. Utilization review (UR) nurses are reporting increasing numbers of commercial denials as the coronavirus (COVID-19) pandemic is resolving.
Hospitals are applying high reliability traits to drive improvement in new departments. Learn how to apply these methods to leverage CDI as a quality improvement function.
This week’s Medicare updates include proposed rules for the inpatient psychiatric facility prospective payment system, skilled nursing facility prospective payment system, and the hospice payment rate update.
