AI, Technology Key to Reducing Medicare Fraud and Waste, CMS Says
Published: Mon, 10/28/19
AI, Technology Key to Reducing Medicare Fraud and Waste, CMS Says In light of new value-based care models and creative partnerships between providers,…
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New tool helps promote ICD-10 codes for social determinants of health data
Published: Wed, 10/23/19
New tool helps promote ICD-10 codes for social determinants of health data In an effort to help broaden the ways in which social determinants of…
7 Best Practices to Improve Professional Fee Revenue Cycle for Better ED Bottom Lines
Published: Tue, 10/22/19
7 Best Practices to Improve Professional Fee Revenue Cycle for Better ED Bottom Lines Most healthcare organizations partner with physician services…
Humana, UnitedHealthcare among those pushing ICD-10 coding for SDOH
Published: Mon, 10/21/19
Humana, UnitedHealthcare among those pushing ICD-10 coding for SDOH Health plans and other stakeholders are convinced that the use of ICD-10 coding…
The Devil’s in the Details of Two New Proposed Rules
Published: Sat, 10/19/19
The Devil’s in the Details of Two New Proposed Rules More than 700 pages of te t make up proposed changes to the federal Stark and anti-kickback…
Government and Private Insurer DRG Audits – Don’t (Necessarily) Believe the Denial!
Published: Fri, 10/18/19
Government and Private Insurer DRG Audits – Don’t (Necessarily) Believe the Denial! I shouldn’t be surprised. I have been reviewing denials by…
3 Coding Compliance Strategies to Improve Reimbursement, Quality
Published: Thu, 10/17/19
3 Coding Compliance Strategies to Improve Reimbursement, Quality Medical coders are typically behind the scenes of patient care, analyzing records,…
Coding Corner: Important differences between ICD-10 Excludes1 and Excludes2 notes
Published: Wed, 10/16/19
Coding Corner: Important differences between ICD-10 E cludes1 and E cludes2 notes PR’s “Coding Corner” focuses on coding, compliance, and…
E/M coding changes
Published: Tue, 10/15/19
E/M coding changes A “bold proposal” to reduce the documentation burden on physicians was released as part of CMS’s 2019 proposed Medicare Physician…
Artificial Intelligence is Coming to Medicare Audits – Is Your Legal Team Obsolete?
Published: Mon, 10/14/19
Artificial Intelligence is Coming to Medicare Audits – Is Your Legal Team Obsolete? AI presents an entirely new landscape for defense against audits.