In Billing
Apr 17th, 2017
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule April 14 that would update 2018 Medicare payment and polices in the Inpatient Prospective Payment System (IPPS) and Long-term Care Hospitals Prospective Payment System (LTCH PPS). The proposed changes apply to approximately 3,330 acute care hospitals and approximately 420 LTCHs and, if finalized, ...
Apr 11th, 2017
The Centers for Medicare & Medicaid Services (CMS) unveiled a fact sheet to improve understanding of HIPAA’s least-known provision, Administrative Simplification. The FAQ helps explain the three-pronged approach to simplification: electronic transactions, code sets, and unique identifiers. CMS said the fact sheet explains how Administrative Simplification standards streamline day-to-day t...
Save time and make money by updating your payment processes. For many healthcare practitioners, collecting patient payments is a challenge. Using the proper tools, however, healthcare practitioners can implement streamlined payment acceptance practices to better sustain their business. Don’t Leave Money on the Table when Billing According to a study from global management firm McKinsey ...
It’s all in how you dissect the operative report. Many coders struggle with coding operative reports because there are so many guidelines and policies that affect code selection. The process is easier when you break it into seven steps: Review the header of the report. Review the CPT® codebook (start in the Index). Review the ...
Maximize revenue cycle profits by watching bundling. Becoming knowledgeable about National Correct Coding Initiative (NCCI) policies and edits may be the difference between having a profitable revenue cycle or placing your facility at risk for denials. In recent years, NCCI policies and edits have become key factors in outpatient facility and professional claims denials. You ...