For years, you’ve endured an agonizingly slow claims appeals process due to the enormous backlog of pending appeals. But now,
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Take a Closer Look at New Tweaks to Stark Law Exceptions
It’s not hard to violate Stark law without realizing it, which means you’re always exposed to Stark law violations. Also,
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Beware: Telemedicine Non-Compliance Will Drain Your Hospital’s Coffers
Your hospital’s claims for telemedicine services are coming under fire, and you could soon see a significant crackdown on your
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Prepare Now for an E&M Reimbursement Revolution
Ground-breaking changes to Evaluation and Management (E&M) documentation and payment are on the horizon, and the impact will vary widely
...Continue readingNow Is The Time To Bolster Your Hospital’s QAPI Program
Your hospital’s Quality Assessment and Performance Improvement (QAPI) program is under more scrutiny than ever before. And with 86 percent
...Continue readingTake 4 Major Steps to Comply with CMS/TJC Ligature Risk Standards
Psychiatric hospitals and psychiatric units within general hospitals aren’t the only places that must comply with ligature risk-related safety regulations.
...Continue readingClear Up Your Confusion Over High-Risk Modifiers To Avoid Denials
Why are modifiers 25 and 59 causing so many billing and compliance problems lately? Payers are claiming that providers are
...Continue readingDon’t Invite Cardiology Claim Denials: Heed CPT’s Definition of a ‘New’ Patient
A cardiologist leaves her practice and joins another, after which a former patient of hers comes to the new practice
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Reduce Hospital Length-of-Stay: Wisely Allocate Personnel & Tech Resources
Hospital care expenses aren’t going anywhere but up, unless you—that is, professionals responsible for hospital performance—rein them in. And the
...Continue readingFocus Ligature Risk Management on Preventive Measures—and CMS/TJC Standards
Approximately 105 Americans die by suicide every day, according to the Centers for Disease Control and Prevention (CDC), with close
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