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For calendar year 2017, the Centers for Medicare & Medicaid Services (CMS) have finalized updated payment rates and policy changes in the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System.
In Medicare and Medicaid services, managed care plans fall under Part C, a Medicare Advantage plan alternative to Parts A and B. Medicare Advantage plans often include integrated self-administered drug coverage similar to the standalone Part D prescription drug benefit plan.
Whether you need help making informed decisions for your organization regarding the RAC audits, or need a refresher on ethical e/m coding, this list of super useful audit resources has it all.
“CPT currently defines a critical illness or injury as an illness or injury that acutely impairs one or more vital organ systems such that there is a high probability of imminent or life threatening deterioration in the patient's condition.” -ACEP.Org.
Annually, the Centers for Medicare and Medicaid Services (CMS) publishes its Fee-For-Service (FFS) Improper Payment Report, a result of the accumulated totals of the Comprehensive Error Rate Testing (CERT) audits.
The long days of reviewing stacks of paperwork on your desk are finally over. But, spreadsheet tools like Microsoft Excel are terrible for healthcare.
We received a lot of great questions during our Conflicts of Interest Webinar.
Auditing is hard work and requires a special kind of personality and superhuman attention to detail.