Compliance

On December 4, CMS released additional FAQs regarding the 2019 IPPS final rule requirement that hospitals post a list of their standard charges on the internet.

Novitas Solutions, Inc. plans to pursue $7.2 million in intensity-modulated radiation therapy (IMRT) overpayments to hospitals in its jurisdiction, according to an Office of Inspector General report.

Q: What activities are required of an accountable care organization (ACO) during performance years?

Use coding guidelines to optimize coder accuracy and productivity and increase the department’s key contribution to cancer research data.

Learn how to maintain quality, safety, and satisfaction by establishing metrics for patient access and scheduling.

Take a look at the appeal process from the perspective of a hospital that submitted a redetermination request after a claim for cataract surgery was reopened.

Revenue integrity experts weigh in on the 2019 IPPS final rule and CMS' focus on price transparency.

Follow these steps to prepare your hospital for new requirements and reimbursement in 2019.

Most inpatient rehabilitation facility stays might not meet Medicare coverage or documentation requirements and compliance could be improved through a preauthorization process, according to a recent Office of Inspector General report.

CMS recently released updated guidance on billing intensity-modulated radiation therapy (IMRT) after an OIG audit found a 100% error rate in billing certain IMRT planning services.