How to Successfully Communicate Your Clinical Validation Concerns

Published: Tue, 01/31/17

How to Successfully Communicate Your Clinical Validation Concerns

In many cases, both the coder and auditor know the case may be denied due to missing clinical indicators, but find themselves with limited ability to correct the physician's documentation. This scenario is particularly troublesome for known RAC denial targets.


ICD-10 Glitch Causes CMS To Relax Payment Penalties

Massive ICD-10 code update is responsible for clogging system and leading to reporting problems. ICD-10 has hit yet another snag after massive code updates resulted in a clogged system and reporting problems for the Physical Quality Reporting system. As a result, CMS has decided to waive the penalties.
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Top 5 Tips for Combating 2017 Coding Concerns

The calendar may say the ICD-10 transition is long gone, but practices still will likely feel its repercussions in 2017 in terms of payer requests, denials and the new code set’s influence on value-based care. Looking to next year...

 
Surprise Medical Bills: Why They Occur And What To Do

Imagine going on Amazon, buying an Electronic Spin the Bottle Game for its listed price of $32.92, receiving the product (sparing the arduous effort required to spin the bottle) and then several weeks later receiving an additional bill for $600. As indicated in a recent study, that’s basically what’s happening in heathcare…quite frequently.

 
11 Ways To Save Money on Medical Expenses

My health insurance plan jumped 24 percent this fall and dropped in quality of coverage. I’m not alone. Rising health insurance costs across the nation have many people worried. A recent 50-state poll released by the Partnership to Fight Chronic Disease revealed that 77 percent of consumers have experienced difficulty using their health insurance in the last year, and the impact of health premiums on budgets is a top concern for families.