There are always opportunities to expand use of existing automation tools. Revenue integrity departments need to make informed choices about new areas to automate and be realistic about their ability to commit resources and show a return on investment.Read More »
Medicare could have saved over $200 million in payments for definitive drug testing services between 2016 and 2020 if proper program safeguards had been in place, according to a recent audit report by the Office of Inspector General (OIG).Read More »
HHS released a policy roadmap for providers ahead of the public health emergency (PHE) conclusion. The roadmap details policies that will simultaneously end with the PHE, as well as flexibilities that have been extended for various time periods.Read More »
Providers are more frequently billing for outpatient evaluation and management services with high-level codes, which has led to higher outpatient spending, according to a recent study.Read More »
Charge reconciliation is typically the responsibility of the clinical departments that perform the services. EHR configurations and the logistical challenges of centralizing charge reconciliation under revenue integrity at multifacility organizations further support clinical departments owning...Read More »
