The January 1, 2020, deadline for reporting Appropriate Use Criteria (AUC) for advanced diagnostic imaging is fast approaching—but organizations can’t wait until the new year to prepare.
Past Revenue Integrity Symposium (RIS) attendees and speakers agree: It’s a can’t-miss event for revenue integrity education and networking. The best part? Savvy revenue integrity professionals can take advantage of several ways to save on the cost of attendance, scoring premier education without breaking the budget.
An analysis of the impact of the three-night requirement for skilled nursing facility admission, wage index reform, and costs of recalled medical devices top the Office of Inspector General’s (OIG) list of top unimplemented recommendations.
Q: For an inpatient-only procedure, can the inpatient order be obtained the day after surgery, and if so, we are still allowed to bill as inpatient for the entire stay?
A recent HIPAA breach that involved transmission of PHI to only one party—a reporter—nonetheless cost a Connecticut practice $125,000, in part because the practice didn’t take simple precautions.
Anne Arundel Medical Center in Annapolis, Maryland, will pay $3,154,000 to settle allegations that it submitted false claims to Medicare for medically unnecessary evaluation and management services and separately billing bundled procedures
Q: Our utilization review (UR) committee originally took a more strictly peer review role but over time its scope and responsibilities have broadened. We're not sure that it still makes sense for the UR committee to be categorized as a subcommittee of the medical staff. What is the current recommended reporting structure for a UR committee?
