Compliance

To ensure you and your team have the most recent coding and billing guidance related to the novel coronavirus public health emergency, regularly check these official resources.

Ensure your organization is prepared to comply with new prior authorization requirements.

A federal judge dismissed the American Hospital Association’s challenge to CMS' Hospital Price Transparency Requirements final rule. The final rule, effective January 1, 2021, will require hospitals to disclose charges they privately negotiate with commercial payers, among other requirements.

Learn how the Cleveland Clinic developed a multi-discplinary process to address CMS' Medicare telehealth waivers.

Although patient care remains the primary concern during COVID-19, the financial effects of the crisis will linger for many months afterward. Maintaining good UR discipline may help hospitals emerge from this emergency in better financial condition and able to better serve their populations.

CMS released a new interim final rule with comment period that grants organizations another round of flexibilities to meet the challenges of the COVID-19 public health emergency, including permitting hospitals to bill for telehealth services and loosening restrictions on COVID-19 testing.

Q: Should providers be documenting the time for all telehealth and telemedicine visits?

The recording of the April 28 members-only Quarterly Conference Call is now available for streaming.

Take a closer look at how price transparency requirements are transforming revenue integrity and how you can prepare.