The Centers for Medicare & Medicaid Services today released the final rule for the home health prospective payment system for
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Understanding MACRA and its Impact!
The Centers for Medicare and Medicaid Services (CMS), on October 14, 2016, released the rule that finalizes the parameters of the Advanced Alternative
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NCCI Edits: Top Ways to Collect When CCI Comes Calling
From time to time it seems like just as you’re preparing your practice for optimal coding efficiency, an untoward incident
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Handling Workers’ Compensation Billing
It is generally perceived that dealing with WC (Workman’s Comp) patients requires extra paperwork, delayed payments as well as keeping
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Hospices Billed One-Third of GIP Stays Inappropriately, costing Medicare $268 Million
A recent OIG report states that in 2012 hospices inappropriately billed almost one-third of Medicare general inpatient care (GIP) stays
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Physicians Breaking the Law or Meeting Compliance Rules
The majority of physicians try to work ethically, deliver top-quality medical care to patients, and submit correct claims for imbursement.
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Stream-Line Your Utilization Management Process
UM is a combination of techniques used by or on behalf of purchasers of health benefits to manage health care
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3 Tips for Optimum Cybersecurity in Healthcare
The health care industry has become an easy target for greedy hackers, resentful employees, and ruthless competitors, leaving an aftermath
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6 Takeaways from 2016 OIG Mid-Year Work Plan
The U.S. Department of Health and Human Services Office of Inspector General (OIG) released an updated Mid-Year Work Plan for
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CMS Proposes Changes to Payment Error Rate Measurement (PERM) and Medicaid Eligibility Quality Control (MEQC) Programs
The Centers for Medicare and Medicaid Services (CMS) is calling on healthcare stakeholders to comment on a proposed rule that
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