Clinical validity denials occur when there is a lack of clinical evidence in the patient chart to support a billed diagnosis. Learn more about common reasons for these denials and how to defend against them.
This week’s Medicare updates include new versions of the MOON and IMM/DND forms, the 2023 update to the therapy code list, guidance for facilities transitioning to rural emergency hospitals, and more!
The 2023 Medicare Physician Fee Schedule ushered in a slew of changes to payment rates, coding guidelines, and telehealth coverage. Review key changes to ensure your organization is in compliance.
The Office for Civil Rights finished 2022 with some enforcement action relating to the HIPAA Security and Privacy Rule enforcer’s Right of Access Initiative.
With reimbursement gains whittled down by CMS' attempt to remedy unlawful cuts to 340B drug payments, complying with updated Outpatient Prospective Payment System (OPPS) policies is key to protecting reimbursement. Take a closer look at CMS' latest policies and ensure your organization is in compliance.
