Medicare billing edits such as National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUE) must be resolved at their root cause so that they do not continue to occur on claim
This week's note from the instructor digs into the deeper details of recently reissued Medicare guidance on drug testing and specimen validity testing in light of a recent OIG report on improper payments related to drug testing.
Case managers in the primary care setting are on the rise, in part due to the role they play in patient engagement as well as the emphasis they place on quality of care in today’s value-based healthcare landscape, according to CMSA Today.
The 2009 HITECH Act created the breach reporting rule. The following will summarize the rule, paying specific attention to the modifications that were detailed in the Omnibus Rule of January 23, 2013.
Under what circumstances would it be appropriate for a patient who does not meet inpatient criteria to be registered as outpatient receiving observation services?
