This week’s Medicare updates include new hospital appeals settlement options, revisions involving the addition and deletion of ICD-10-CM codes from certain NCDs, details on the partial settlement of a 2-Midnight policy court case, and more!
The 2016 Revenue Integrity Symposium brings together training on Medicare billing and compliance, case management, revenue integrity, coding, CDI, and patient status, and more.
This week we will continue our discussion on several Medicare processes involving changes to claims as originally submitted and/or adjudicated. We will review the five-level Medicare appeals process (Appeals Process) and the relationship of that process to claim adjustments (Adjustments) and reopenings (Reopenings).
Employing clinical versus coding criteria for assigning or auditing an ICD-10-CM diagnosis code for malnutrition can have a significant impact on reimbursement. Use these tips to ensure appropriate documentation and coding.
Employing clinical versus coding criteria for assigning or auditing an ICD-10-CM diagnosis code for malnutrition can have a significant impact on reimbursement. Use these tips to ensure appropriate documentation and coding.
