Uncommon MS-DRGs can be a red flag to auditors even when the encounter is correctly assigned to one. Use these tips to ensure coding and documentation supports the use of these MS-DRGs.
CMS developed the National Correct Coding Initiative (NCCI) to control improper coding and potentially inappropriate payment of Part B services. Review NCCI basics to ensure compliance with the latest coding policies.
Clinical validity denials occur when there is a lack of clinical evidence in the patient chart to support a billed diagnosis. Learn more about common reasons for these denials and how to defend against them.
This week’s Medicare updates include the 2024 Medicare Advantage Advance Notice, resources on waivers that will end with the PHE in May, a correction to instructions on split-shared billing, and more!
