All posts by Amy Palermo

Hospital Contracted Services

Prepare Your Hospital For Contracted Services Scrutiny

Ensure You And Your Vendors Know Your CMS & Joint Commission Obligations

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..

FDA Regulatory Compliance

Avoid Failed Regulatory Efforts And FDA Form 483

Find Out Why an Organization-Specific Compliance Program Is So Important

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..

DME Documentation Guidelines

Put Your Best Foot Forward To Avoid DME Denials

Sidestep Revenue Loss: Follow Proper CMS Documentation Guidelines

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..

Ophthalmology Coding Updates

Focus on 2018 Ophthalmology Coding Updates Now

It’s Not Too Late to Learn the ICD-10 and CPT® Changes

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..

HCC Coding Compliance

HCC Coding Compliance Best Practices

How to Reduce Coding Errors and Maximize Medicare Reimbursements

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..

CPT Pathology Codes

2018 Changes for Surgical Pathology Feature 40 New Codes

Design Effective Internal Audits to Prepare for Next Year

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..


Don’t Tip Toe Around DME HCPCS Coding

Secure Your Rightful Reimbursement for Supplies and Braces With These Best Practices

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..

Food Safety rules

New Rules on Imported Food

Final FSVP & Accredited Third-Party Certification Rules Affect Food Importers

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..