Compliance

Consider the potential impact of future appropriate use criteria changes including prior authorization.

Use these expert answers to improve your organization’s lab DOS policy compliance.

Review telehealth opportunities and pitfalls with an eye on revenue integrity.

Officials say the move will result in lower healthcare costs by unleashing competition. Some industry stakeholders are disputing that claim.

As part of its Patients Over Paperwork initiative, CMS is collecting public input on ways to reduce unnecessary administrative and regulatory burden.

Review the impact of the first months of CMS’ price transparency requirement and look ahead to the next steps.

Use these expert tips to tighten up IRF compliance and avoid costly denials.

Experts share insight on how to ensure inpatient rehabilitation facility documentation will stand up to an appeal.

CMS recently reissued Special Edition MLN Matters 19002 to address lingering provider questions surrounding the application of the 2-midnight rule to total knee arthroplasty (TKA) claims. The MLN Matters article was originally released January 8 but was reissued January 24 to correct errors.

A Comprehensive Error Rate Testing (CERT) study showed that insufficient documentation causes most improper payments for observation and inpatient care services, according to the January 2019 Medicare Quarterly Compliance Newsletter.