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..

CMS Final Rule

CMS Final MACRA Rule Holds Steady on MIPS

Third Article in Our Series on MACRA & MIPS

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..

EM Coding Pitfalls

How to Avoid Common E/M Coding Pitfalls

Support Levels of Care With the Right Amount of Documentation

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..

Physician Documentation Challenges

Top Physician Documentation Challenges

How to Increase Accuracy in Notes and Records and Ensure Proper Reimbursement

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..

CMS Form 855

Get to Know the CMS-855 Forms: All 7 of Them!

Filing For a Hospital Can Require a Dedicated Team, So Marshal Your Resources!

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..

FDA Computer System Audit

New FDA Industry Guidance Focuses on Electronic Records

Recommendations Highlight Mobile Devices and Risk-based Evaluations

This summer the Food and Drug Administration (FDA) posted draft guidance on the use of electronic records for automation analysts, laboratory managers and others who work in quality control and quality assurance in the food safety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..