CMS made certain concessions from its proposed site-neutral payment policies required by Section 603 of the Bipartisan Budget Act, but it is still moving forward with implementation January 1, 2017, according to the 2017 OPPS final rule.
In the final rule, released November 1, CMS...Read More »
CMS released its list of quality measures under consideration (MUC) in November and the National Quality Forum’s (NQF) Measure Applications Partnership (MAP) begun its annual review of the list, according to a blog post from the American Association of Professional Coders (AAPC).
You can’t manage what you don’t understand. So, the first step in any effective denials management program is to develop an understanding of the what constitutes a denial, as well as the different types of denials and their contributing causes.
As the healthcare industry shifts from traditional fee-for-service to a value-based and quality-driven model, CDI specialists should be aware of the principles that drive risk adjustment payments. “I describe it as traveling down parallel to that which we travel to establish the DRG,” says...Read More »
