Sep 21st, 2018
The healthcare industry is a fast-paced, ever-changing business that never rests. Perpetual changes to federal regulations, code sets, and technology make it nearly impossible to stay up to date. But stay up to date we must to ensure compliance and receipt of proper reimbursement for healthcare services and supplies. If only there was one place you could turn to ...
Become an expert in identifying, correcting, and preventing denials. Denied claims are as common and predictable as having a child spike a fever before a big holiday, and every practice or group finds itself wrestling with corrections and resubmissions. But if you ask AAPC’s Director of Curriculum Katherine Abel, CPC, CPB, CPMA, CPPM, CPC-I, AAPC ...
In Audit
Sep 14th, 2018
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) has provided its latest, monthly Work Plan update. The Work Plan “sets forth various projects including OIG audits and evaluations that are underway or planned to be addressed during the fiscal year and beyond by OIG’s Office of Audit Services and ...
In Audit
Aug 21st, 2018
An OIG review shows Medicare overpaid outpatient hospitals as much as $25.8 million for complex simulations billed during audit period. Between 2013 and 2015, Medicare paid 1,193 hospitals $109,197,933 in bundled payments for intensity modulated radiation therapy (IMRT) — about $25,754,171 more than they should have, according to the Office of Inspector General (OIG). The ...
In Audit
Aug 17th, 2018
Learning to perform coding audits is an important piece of an effective compliance program; but, what’s the difference between internal and external coding audits? An internal audit is one that is performed by members of the organization or practice. Some large hospital systems have an internal audit department that is responsible for auditing all aspects ...