The high volume of successful appeals, particularly on the first level, raises concerns that Medicare Advantage Organizations were denying payment and authorization for services that should have been provided, the OIG said.
The healthcare revenue cycle is changing at break neck speed. Staying up to date on CMS regulations as well as overall payer trends is critical in this time. The National Association of Healthcare Revenue Integrity’s (NAHRI) 2018 Revenue Integrity Symposium (RIS) is one of the best conferences for unbiased education on essential healthcare revenue cycle and revenue integrity topics.
It is critical for providers and any person who is involved with healthcare revenue integrity to stay as current as possible or risk losing out on opportunities to ensure proper and full payment of millions of dollars’ worth of billed and/or billable claims, and the National Association of Healthcare Revenue Integrity’s (NAHRI) 2018 Revenue Integrity Symposium (RIS) can help professionals do just that.
EHR prompts and autofilled forms designed to help providers can lead to poor documentation and coding if not used wisely. Avoid these common errors and help reduce denials and boost coding compliance.
More than 100 NAHRI members tuned in to hear expert advice on revenue integrity hot topics and get the scoop about exciting new NAHRI initiatives during our second members-only quarterly call on April 24.
To close an open encounter, the following ingredients are required: one completed progress note, one chief complaint, a diagnosis, and a physician level of service. Combine all four in EPIC and you're ready to post charges.
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