The Office of Inspector General (OIG) published a report on potential oversight vulnerabilities related to remote patient monitoring (RPM) in Medicare.
Healthcare organizations are under more and more pressure from denials, impacting hospitals’ bottom lines and ultimately resources they have available to care for patients. Those in the revenue integrity and clinical documentation integrity (CDI) fields are
Denials management is critical for providers facing rising denial rates, especially in medical necessity claims, which can delay cash flow and increase appeal costs.
To maintain financial stability and operational efficiency, healthcare organizations must enhance clinical...
CMS improperly paid hospitals over $79 million for mechanical ventilation claims between 2015 and 2021, according to a recent audit report from the Office of Inspector General (OIG).
Amy Inch, COTA, CPC, CPMA, discusses how her session at the 2024 Revenue Integrity Symposium will help attendees improve processes for pre- and post-payment audits and protect revenue.
