Both the Centers for Medicare & Medicaid Services (CMS) and the Joint Commission have ramped up their scrutiny of contract management at hospitals—and with good reason. Data breach and communication breakdown are very real risks given that multiple hospitals departments are regularly accessing the contracts More..
Restraint and seclusion is a hot spot with both CMS and the Joint Commission—and an area where hospitals are frequently cited for being out of compliance. In a recently issued CMS memo summarizing all of the deficiencies against hospitals, the number one? You guessed it: More..
If your life science organization fails to meet regulatory requirements during a Food and Drug Administration (FDA) audit, you can expect to receive a Form 483. While some 483 observations are resolved amicably, other cases have serious consequences for the concerned organization— ranging from warning More..
Durable medical equipment (DME) billing continues to be scrutinized by Medicare and other commercial carriers. The Centers for Medicare and Medicaid Services (CMS) offers extensive and detailed documentation guidelines for DME in general, as well as other guidelines for documentation that can be found in More..
It’s time to put down the egg nog and get back to work, ushering in new otolaryngology CPT® codes. Examining the new codes now and understanding how they will impact coding and billing for your otolaryngology practice is the key to kicking off a profitable More..
Hindsight is 20/20, especially as you reflect on your 2017 eye care services coding. As you ponder things you wish you knew at the start of the year that would have made a difference in your claims accuracy, don’t wallow in regrets—see it as a More..
Coding and auditing errors can greatly impact your organization’s revenue cycle. This is especially the case with Hierarchical Condition Category (HCC) risk adjusted payers under Medicare Advantage and the Affordable Care Act. Hospital and clinical coding staff, including managers, directors, auditors, CDI staff, clinicians and More..
Fraught with complexities, surgical pathology coding remains a tricky task. The CPT© rules and federal regulations that drive the coverage and payments for the services you perform change frequently. Filtering through the options to assign the correct diagnosis and procedural codes and modifiers is daunting More..
When a physician or therapist believes that a patient will benefit from a durable medical equipment (DME) supply or brace, it’s up to the office staff to determine what healthcare common procedure coding system (HCPCS) code should be assigned for billing purposes. Unfortunately, there are More..
If your business imports food products into the United States, you’ve got new rules to follow! The U.S. Food and Drug Administration’s (FDA) Foreign Supplier Verification Programs (FSVP) final rule outlines the activities importers should perform to verify that food imported into the United States More..