If your utilization review (UR) committee is like many others nationwide, it may not have actually met in years-and chances are your UR committee members are secretly glad that's the case. Let's face it; those meetings can be a complete snooze.
More than one-third of Americans are obese, according to the Centers for Disease Control and Prevention. These individuals typically have a higher risk of numerous health conditions, such as heart disease, stroke, diabetes, and certain types of cancer-conditions that can all lead to higher rates of complications and readmissions.
A compliance officer is responsible for providing leadership for a healthcare organization's compliance program, but this is not a job a compliance officer must do alone.
Coders can run into two types of edits that may require them to append modifier -59 (distinct procedural service) to override: NCCI edits and medically unlikely edits (MUE).
