An efficient, effective revenue integrity program is an important part of protecting revenue and driving process improvements. Use these tips to ensure your program is reaching peak performance.
Medicare finalized a care management service for chronic pain management (CPM). Effective January 1, CPM services can be reported by a wide range of providers, including primary care practitioners.
CMS confirmed in the 2023 Medicare Physician Fee Schedule final rule that it will adopt the framework of the revised AMA E/M guidelines, including payment based on medical decision-making (MDM) or time, effective January 1, 2023. Laura Evans, CPC, explains how the agency will diverge from the AMA on some points, however.
In September, the Office for Civil Rights (OCR) released its fall 2022 data for enforcement. Covered entities (CE) and business associates (BA) can review this data to determine areas that most commonly trigger enforcement on behalf of the government’s regulator for the HIPAA Privacy and Security rules.
Ensure you're on top of the latest ICD-10-CM rules for coding principal diagnoses for newborn encounters, conditions that may be community acquired or due to birth complications, common newborn conditions that are often coded incorrectly, and 2023 codes for newborn apnea that took effect October 1.
