Last week, CMS proposed major changes to the FY 2019 Physician Fee Schedule and the Quality Payment Program, some of which could change the E/M...Read More »
Many organizations have HCC tools built into their CDI software or EHRs that can help them capture HCCs. When providers click on a diagnosis or a...Read More »
Examining readmission and mortality changes from 2010 to 2016, MedPAC found the HRRP contributed to a significant decline in readmission rates...Read More »
The volume of denials due to lack of medical necessity for outpatient services is increasing. As a result, providers must ensure that they develop processes around improving documentation to justify services in all areas of care provided....
by Cherri Sanders, RHIT, and Heather Marie Smith, CCS-P
Our facility serves a large Medicare population, making it vulnerable to Medicare’s LCD/NCDs, and it experienced thousands of dollars in denials annually without fully understanding what was being denied and why. Everything...
