The 2021 Medicare Physician Fee Schedule (MPFS) final rule, released December 2, extends certain telehealth benefits but makes cuts to the Medicare conversion factor (CF) to offset evaluation and management (E/M) changes that would otherwise have resulted in significant reimbursement increases....Read More »
NAHRI takes a pause as we remember the life and legacy of Debbie Mackaman, RHIA, CPCO, CCDS, one of our founding NAHRI Board Members, who passed on December 2.Read More »
United Healthcare (UHC) recently announced that it is delaying the implementation date of its unique laboratory code policy. The policy, which was originally set to go into effect January 1, 2021, will be delayed until January 1, 2022.Read More »
CMS announced on November 25 that it is building on the flexibilities granted by the Hospitals Without Walls program to launch the Acute Hospital Care at Home program. Under this program, eligible hospitals will be allowed to treat certain inpatients in the patient’s home.Read More »
CMS will hold a webcast on Tuesday, December 8 from 2–3 p.m. Eastern to help organizations prepare to comply with the upcoming price transparency requirements.Read More »
Drafting an effective appeal in response to payer audits and overpayment demands goes beyond just coding and billing; it also often requires a deeper analysis and technical response. Let’s take a look at some steps to take and knowledge to have while putting together an appeal. Read More »
Payer enrollment is the cog that kicks off the revenue cycle. Although most revenue cycle renderings indicate client intake is step one in the cycle, the reality is enrollment is the critical first phase. Read More »