Jan 1st, 2015
Navigate complex state rules and comply with payers’ coverage guidelines and bylaws. By Joette Derricks, MPA, CMPE, CPC, CHC, CSSGB In 2013, the American Medical Association (AMA) established a definition for a qualified healthcare professional (QHP), in terms of which providers may report medical services: “A ‘physician or other qualified health care professional’ is an ...
In CMS
Jan 27th, 2010
There’s certainly no grass growing under the feet of the Centers for Medicare & Medicaid Services’ (CMS’) four appointed Recovery Audit Contractors (RACs). Each company has been hard at work posting new CMS-approved issues for review. Whereas RACs’ initial focus seemed to be on outpatient services, the target now also seems to be on inpatient services. ...