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
Aug 27th, 2019
The Centers for Medicare & Medicaid Services (CMS) knows that a significant amount of money is being overpaid to insurance companies in the Medicare Advantage program, but they have yet to recover these overpayments. That’s about to change. CMS says it will increase the audits being performed on Medicare Advantage risk-adjusted code submissions and apply ...
In Coding
Jul 31st, 2019
Stop the downward flow of revenue by using accurate reporting and auditing of physician services. The cost of doing business keeps going up and payer reimbursement keeps going down. Your practice can’t afford to lose thousands of dollars through needless waste and inefficiencies. But if you’re using inaccurate or outdated medical coding practices, that’s exactly ...
May 22nd, 2019
How to Survive a Personal Audit Almost no one enjoys being audited, but it is an important part of our professional lives and can make us better coders. It is often difficult for coders to strive to balance quality and productivity, and to be successful at both. And yet, both of these are very important ...
Dodging them means your practice will better serve patients, decrease risks, and improve cash flow. In today’s environment of increasing regulatory oversight and ever-changing reimbursement policies, compliance requires concerted effort and plan. Although healthcare organizations are not federally mandated to implement a compliance and auditing program, it’s foolish not to. Done right, a complianc...