Under the No Surprises Act, how do we document that a patient has been informed that a provider is out of network and still wishes to receive that provider’s services?
Optimized financial performance starts with accurately coded claims, yet far too many providers only review a small portion of cases prior to billing. This means the majority of the issues behind revenue leakage...
The 2022 Outpatient Prospective Payment System (OPPS) final rule finalizes major changes to enforcement of CMS’ hospital price transparency requirements, among other changes.
The 2022 Medicare Physician Fee Schedule (MPFS) final rule ushers in significant changes to billing for split/shared visits, telehealth coverage, and more.
Q: Is there any CMS guidance on designation of patient provided/supplied drugs on claims, such as information on revenue codes, HCPCS codes, and quantity?
