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 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 »
Speaking at the Revenue Integrity Symposium (RIS) is a major professional milestone in the revenue integrity field. RIS speakers gain enormous professional benefits from being recognized as experts in their field,
Governmental audits are handled differently at every facility, but favorable results are more likely with a strong audit response that meets all ADR requirements.
“It is imperative that organizations determine who the right folks are to engage in the process,” says Diane Weiss,...Read More »
