Audit defense is a key strategy to ensure coding and billing compliance and defend earned revenue. Use these tips to create a multidisciplinary strategy that gives you a clear view into processes.
Q: During the novel coronavirus (COVID-19) pandemic, it has become abundantly clear that the burden from this disease has not been shared equally. Minorities have been disproportionately affected, and many of the problems are due to structural inequalities that existed long before the pandemic began. How can case managers address some of these underlying problems in hopes of improving health equality?
This week’s Medicare updates include new guidance on hospital expansion opportunities during the COVID-19 pandemic, revised guidance for ambulatory surgical center staffing during the pandemic, an interim final rule on payment for Part B drugs, and more!
The HIM department plays a critical role in the revenue cycle, but it’s often placed in a reactive position, limiting its effectiveness. Learn how to improve operations by enhancing the HIM department’s involvement across the revenue cycle.
Modifiers provide a means by which a physician or facility can flag a service that has been altered by a special circumstance but has not changed in definition or code. Break down CPT guidelines for reporting hospital modifiers -25, -50, -59, -LT, and RT.
