In Audit
Nov 14th, 2019
Chronic care management (CCM) services are services that do not involve face-to-face patient/provider contact. The Centers for Medicare & Medicaid Services (CMS) implemented Medicare coverage for CCM in Jan. 1, 2015. There are very specific guidelines providers need to follow to be reimbursed for CCM services rendered to Medicare patients, but it appears CMS is ...
In Audit
Nov 6th, 2019
Many healthcare organizations are seeking to reduce expensive physical office space, improve employee morale, and offer flexible options for the workforce; telecommuting has emerged as a commonplace solution for many of us. How can a compliance officer embrace these more prevalent and relevant offsite employee worksite opportunities while still demonstrating they are managing risks to ...
In Audit
Sep 10th, 2019
Earning an AAPC core certification (CPC, COC, CIC, CRC) opens the door into the medical coding world, but it doesn’t mean your education is complete. As with the science of medicine, the business of healthcare is constantly evolving. Medical coders must adapt and reinvent themselves to keep up with the changes and maintain a competitive ...
In Audit
Sep 2nd, 2019
Ensure your organization receives credit for its chronically ill patients where credit is due. Requests for medical records come from many sources for different reasons. One reason is for quality assessment review of clinical documentation by contractors paid by the Centers for Medicare & Medicaid Services (CMS) for hierarchical condition category (HCC) and Healthcare Effectiveness ...
In Audit
Sep 2nd, 2019
Lower denial rates are key to turning around large healthcare organization payment issues. When you are a large organization, the number of denied claims can be overwhelming and cost a staggering amount of money. To manage this can be a scary prospect — but fear not, we are here to help. Two things are crucial ...