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..
Random gun attacks and mass shootings make headlines nearly on a weekly basis, but shootings at hospitals are, thankfully, rarer. Lessons learned from recent events make it clear that hospital supervisors and managers need to make preparing for violence a priority and that any hospital More..
On Nov. 2, 2017, CMS published its final rule implementing the Quality Payment Program (QPP) under the Medicare Access and CHIP Reauthorization Act (MACRA). The final rule, which has a comment period through Jan. 1, 2018 and provides updates for QPP’s second (2018) and future More..
Coding and overpayments are getting a lot of regulatory attention—are you in the government’s crosshairs? Evaluation and management (E/M) always tops the list of errors that are easy to make. Here’s how to avoid the most common E/M coding pitfalls. HHS Targeting Overpayments In fiscal More..
Physicians know that clean clinical documentation is essential to get proper reimbursement. With increased pre- and post-payment audits and third-party scrutiny, you should make sure your practice isn’t missing a few crucial elements while documenting services. Common Documentation Errors Identified in Audits According to coding More..
Improvements in healthcare over the last decade or two have helped to ensure that patients are living longer, which has brought attention to certain gaps that exist in the current system. One of the areas facing special scrutiny is that of palliative care, often mistaken More..
If your facility treats Medicare patients, you know—or have surely heard—about the 855 form. Actually, the Centers for Medicare & Medicaid Services (CMS) puts out seven versions of Form 855, and the smallest one is five pages long and can take hours to complete, say More..
This summer the Food and Drug Administration (FDA) posted draft guidance on the use of electronic records for automation analysts, laboratory managers and others who work in quality control and quality assurance in the food safety industry. The document, “Use of Electronic Records and Electronic More..
The Office of the Inspector General’s (OIG) Work Plan provides hospice facilities a blueprint for their compliance activities for the following year. For 2018, the OIG has hinted that it will put special scrutiny on transports and Medicare and Medicaid claims next year. All Transports More..
Top-tier ultrasound machines can easily top $100,000, while even a used machine with basic features can set a clinic back $20,000. But a slew of new machines entering the market are aiming to totally disrupt the high-priced world of ultrasounds. These changes come as coders More..