Successful appeals are often a result of how you present appeals to your carrier. Here are vital tips to achieve successful appeals. Be Prepared: Anyone speaking with the carrier regarding an appeal— be it a coder, biller, office manager, or...
More InfoAn international team of researchers say they have developed an artificial intelligence system that diagnoses skin cancer more accurately than trained dermatologists. For the study, a team of researchers from Germany, the U.S. and France trained...
More InfoPatients’ financial responsibility for their healthcare is on the rise and showing no signs of slowing down. Long gone are the days of $25 co-pays and $250 deductibles. A TransUnion Healthcare analysis showed that patients experienced an 11...
More InfoHere’s a summary of the changes for the July update to the 2018 Medicare Physician Fee Schedule Database (MPFSDB). Changes are effective for dates of service on and after July 1, 2018. Indicator Change for RHC and FQHC Care Management Codes. For...
More InfoBrief: CMS Administrator Seema Verma on Tuesday said the agency will not approve any state requests to put lifetime coverage limits on Medicaid beneficiaries. Earlier this month, CMS rejected Kansas’ request to place a three-year lifetime...
More InfoClinical diagnostic laboratories can look forward to 12 new laboratory codes were effective April 1 and one code effective retroactively January 1. The Centers for Medicare and Medicate Services (CMS) released the changes May 5, 2018. The new...
More InfoBrief: CMS’ latest update to its Hospital Compare website gives 213 hospitals top star ratings for patient experience, according to the Advisory Board. The agency updated the website on April 25, posting new HCAHPS summary star ratings for 3,466...
More InfoThe importance of an effective outpatient CDI program cannot be overstated We all know that getting the most accurate and appropriate documentation has always been an issue. Trying to clarify documentation to obtain the most accurate diagnosis...
More InfoSkilled nursing facilities could face a new Medicare reimbursement system that pays based on patient conditions and needs, rather than volume of services provided. CMS recently proposed updates to several post-acute care prospective payment...
More InfoAfter patients have a subcortical stroke in the right hemisphere of their brain, more than one in three experience cognitive decline. That decline may be the result of damage to specific pathways in the brain, according to a new study published...
More InfoMEDPAC SUGGESTS CUTTING MEDICARE REIMBURSEMENT FOR STAND-ALONE EMERGENCY DEPARTMENTS The Medicare Payment Advisory Commission (MedPAC) recently voted to reduce Medicare reimbursement by 30 percent for off-campus stand-alone emergency departments...
More InfoDive Brief: Spending on vendor-provided federal health IT goods and services is estimated to increase from $6.1 billion this year to $8.1 billion in 2023, according to a Health IT News summary of a market outlook report. That increase will...
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