The high volume of successful appeals, particularly on the first level, raises concerns that Medicare Advantage Organizations were denying payment...Read More »
Clinical documentation improvement (CDI) teams are continually challenged with making the CDI process as efficient as possible, while also ensuring all queries are compliant and medical records are complete and accurate. When many of the steps in the process are still managed manually, or using...
The session I’m most looking forward to presenting at NAHRI's 2018 Revenue Integrity Symposium is “Next Generation Technologies: Practical...Read More »
CMS’ 2019 OPPS proposed rule continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to...Read More »
Without the guidance and expertise of compliance, revenue can’t be considered truly accurate and audit-proof. By using a compliance work plan to...Read More »
The 2019 Medicare Physician Fee Schedule (MPFS) proposed rule, released July 12, introduces policies that focus on expanding the framework for...Read More »
