The coronavirus (COVID-19) outbreak is taking a massive toll, impacting not only individuals and families as well as employers as they struggle with balancing the need for keeping their employees healthy while running their businesses. I have been writing about the advantages and challenges of...Read More »
Please review the official release from our testing partner PSI regarding additional safety measures being put into place at our more than 300 testing centers nationwide as a result of COVID-19. It also contains information on rescheduling an exam should that become necessary. Thank you for your...Read More »
It has been relatively quiet lately in terms of announcements and releases from CMS so I thought I would take some time to dissect what appears to be a relatively benign transmittal as a demonstration of how to interpret guidance from transmittals. Connecting the dots in a very complicated...Read More »
Q: Is there a condition code or process we can perform on a corrected claim to show that an inpatient readmission within 30 days is not related to the previous inpatient claim?Read More »
It’s time to start planning your trip to the 2020 Revenue Integrity Symposium (RIS). As you’re looking at your calendar, planning for coverage while you’re out of the office, and preparing to make your case to your manager, consider making it a full week of education with a pre- or post-...Read More »
Q: Are disposable instrumentation tools, those typically used in endoscopic or cardiac procedures, considered integral to the procedure or are they separately chargeable?Read More »
The National Association of Healthcare Revenue Integrity Professionals (NAHRI) is currently accepting applications for its Advisory Board. Taking an active role in NAHRI can set you on the path to shape the...Read More »