At first glance, it appeared that hospitals were complying with the Centers for Medicare & Medicaid Services’ (CMS) price transparency requirement, which became effective January 1, 2021. Upon a closer look; however, multiple deficiencies...
More InfoClaims management is a multi-step process that provides ample opportunity for errors and delays, but if payers modify their approach to certain steps in the process it could have a positive impact overall. In the most concise language, claims...
More InfoRevenue is not a goal; it is an outcome. Healthcare providers, hospitals and other services, have struggled for the last decade to maintain sustainable revenue for survival. This has been exacerbated by the pandemic changing borderline net...
More InfoGet answers to the top 10 questions about coding for office and other outpatient services in 2021. Ever since the release of the new 2021 evaluation and management (E/M) guidelines for office and other outpatient services, AAPC has been...
More InfoHow do you feel you are handling the new American Medical Association (AMA) evaluation and management (E/M) guidelines? I know I’ve had to stop many times while auditing and make sure I was using the new criteria for office visits. I’ve even...
More InfoOur hospital has been denied CPT code 52601 because the operative report does not mention the word complete. Although the operative note described the procedure in detail and the pathology report showed benign prostatic hyperplasia (BPH)...
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