Remittance processing and appeals are integral parts of the revenue cycle. When facilities submit a claim to Medicare, the hope is that the claim will be paid in full and in a timely manner, but that does not always happen.
Q: I work for a large company. I called out one day because my daughter was sick. Do I have to provide a doctor's note to my employer when I wasn't the actual patient?
This week's note from the instructor takes a deep dive into the proposals included in a new advance notice of proposed rulemaking aimed at reducing prescription drug prices.
This week’s Medicare updates include an advance notice of proposed rulemaking regarding changes to Part B drug pricing, an OIG review of billing for inpatient services, the release of skilled nursing facility quality reporting data, and more!
Q: Case managers used to evaluate their work in terms of tasks completed or length of stay (LOS). Now that LOS has more than a financial meaning, what are some meaningful outcomes case managers can use to set goals for their work?
