Millions of medical records are sent to insurance companies every year by hospital and health system business office personnel to expedite claims payment, respond to payer audits, or fulfill other payer denial requests for information. And any time medical records are handled, HIPAA concerns come into play.
This week’s Medicare updates include a new Medicare preventive services education tool, the September edition of the Patients over Paperwork newsletter, an OIG audit of Medicare Advantage’s appeal outcomes, and more!
As coders mark the third anniversary this October of the U.S. implementation of ICD-10, its newly minted successor is waiting in the wings, nearly ready for adoption.
Developing an outpatient CDI program isn't just about metrics--departments needs to consider how to engage providers and interact with other teams to be truly effective.
CMS recently released updated guidance on billing intensity-modulated radiation therapy (IMRT) after an OIG audit found a 100% error rate in billing certain IMRT planning services.