CMS will begin reprocessing 2019 claims for some services rendered at excepted off-campus provider-based departments. The affected claims are for services represented by HCPCS code G0463 (hospital outpatient clinic visit for assessment and management of a patient) with dates of service between January 1, 2019, and December 31, 2019.
Chargemasters is more than just CPT® and HCPCS codes. It’s a key part of processes across departments, and its data can help a hospital develop insights into its operations.
To keep the chargemaster in top shape, don’t stop at CPT/ HCPCS code updates. An effective chargemaster governance...
Denials management continues to be a significant challenge for healthcare organizations in 2021, and beyond. Earlier this year, NAHRI conducted a survey to its Leadership Council on denials management, and 100 leaders,...
Q: How should we bill for trauma activation without pre-hospital notification and how should we capture charges for these services? Do we bundle the charge in with the facility evaluation and management (E/M) code?
Healthcare organizations are looking for better ways to stem the flow of denials, which have been even more challenging to manage in the last year and a half. The pandemic triggered a significant shift to virtual care services and many other changes that impacted billing, claims, and coding...
Finding and addressing the roor causes of coding edits is essential to revenue integrity, but when the issue points back to clinical departments it can often be a challenge to get them on board with change. Use these tips to gain clinical departments' support and implement practical, colloboartive solutions.
Successfully responding to payer charge audits for services billed above room and bed rate can be a challenge. The Cleveland Clinic contracting, compliance, and revenue cycle departments worked together on a project to address this focus.
