Medicare Compliance & Reimbursement
OASIS Edits Prompt Returned HH Claims Instead of Denials, MAC Says
Medicare Compliance & Reimbursement
- Compliance:
NGS Steps Back Its E/M Exam Policy Change Decision
Planned EPF and detailed exams updates are no longer considered mandatory. In a surprising reversal [...] - Modifiers:
Master Modifier 57 to Boost E/M Pay With Procedures
Tip: Global days factor into whether to use modifier 25 or 57. Many practices are [...] - Home Health Reimbursement:
OASIS Edits Prompt Returned HH Claims Instead of Denials, MAC Says
Know the 3 necessary steps to resolve 37253 issues. The OASIS edit that took effect [...] - Clip And Save:
Consider This Claims Advice Before Your Next Appeal
Excessive appeals often alert payers to fraud. Denials are inevitable in the business of medical [...] - HIPAA:
Ensure Internal Protocols Are Ironclad to Stamp Out PHI Exposure
Payer's breach highlights the necessity of safeguarding sensitive information. Healthcare organizations have the best intentions [...] - Be Upfront About HIPAA Violations
Tip: If you meet the reporting exceptions guidelines, you may not have to report a [...] - Reader Question:
CMS Offers Claims Exceptions for Small Practices
Tip: Medicare will accept paper claims, but there are size restrictions. Question: Our practice recently reorganized, [...] - Industry Notes:
Consider New DOS Guidance for Lab Tests From CMS
Plus: IMPACT Act elements shouldn't impact you in 2018. The date of service (DOS) for [...]
