While communication is key to reducing denials, it’s very difficult to do well, according to Nancy Blattberg-Smith, MPH, RHIA, CDIP, CCS, manager of inpatient data integrity at University of Utah Health. She explains that her team has been aiming to encourage communication among...Read More »
CMS recently relaunched the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for short-term acute care hospitals, restoring these facilities’ access to a valuable data tool that assists with claim accuracy.Read More »
CMS is preparing to launch the Outpatient Prospective Payment System (OPPS) Drug Acquisition Cost Survey to collect acquisition costs for certain outpatient drugs and biologicals.Read More »
CMS recently created a new system edit to help reduce improper Medicare payments for outpatient services provided by acute care hospitals to hospice patients.Read More »
CMS moved ahead with significant expansions to its site neutral payment policies, including reductions to payments for certain services at expected off-campus provider based departments (PBD), additional price transparency requirements, changes to its methodology for setting MS-DRG rates, and...Read More »
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