Shelley Safian, PhD, RHIA, HCISPP, CCS-P, COC, CPC-I, describes how, beginning in 2023, medical decision-making (MDM) will be used to determine E/M leveling for additional visit services, following similar changes for outpatient visits implemented in 2022.
A physician advisor (PA) can be a powerful ally for case managers. Organizations should be certain to take full advantage of what this role can offer by structuring the position properly.
Although the inpatient-only list has evolved over the years it's remained a common source of easily avoidable denials. Brush up on the details of the requirement to improve compliance at your organization.
This week’s Medicare updates include a revised MLN booklet on chronic care management services, the October 2022 update of the Ambulatory Surgical Center Prospective Payment System, an OIG review of Part B overpayments, and more!
