The American Hospital Association (AHA) released a report to highlight how Medicare Advantage (MA) organizations create increased administrative and financial burdens for rural hospitals.Read More »
by Alba Kuqi, MD, MSHIM, RHIA, CCM, CRCR, CICA, CSMC, CSAF, CCS, CCDS, CDIP
Managing claim denials is essential for healthcare organizations to maintain financial health and operational efficiency. Rising denial rates, particularly for medical necessity claims, are leading to...Read More »
CMS issued a final rule to establish several new appeals processes for Medicare beneficiaries who want to challenge a hospital’s decision to reclassify their status.Read More »