CMS is seeking comments on a proposed coverage with evidence development for chimeric antigen receptor T-cell (CAR-T) therapy for relapsed or...Read More »
The improper payment rate for routine venipuncture lab tests was 16.3% in 2018, representing more than $20 million, and medical necessity errors...Read More »
Learn how to track and evaluate small-dollar denials before they add up to major revenue losses.Read More »
Use this sample revenue integrity associate for edit management job description as a template for your facility.
It’s hard to believe planning for the 2019 Revenue Integrity Symposium (RIS) is already underway. It feels like just yesterday we were all...Read More »
Q: We have patients that come to the emergency department (ED), are seen by a physician assistant, nurse practitioner, doctor of osteopathic...Read More »
CMS released additional instructions to the Medicare Claims Processing Manual for the accurate interpretation of claim edits and...Read More »
Check your processes to implement E/M documentation changes, code updates, and expanded laboratory reporting requirements.Read More »
Understand how payment policy changes, C-APC changes, and more will impact your organization.Read More »
With healthcare costs on the rise, patients are experiencing greater out-of-pocket expenses and providers, in turn, are having difficulty collecting revenue from patients-- a process...