Find out if federal land will open for AI development. On Jan. 23, 2025, President Donald Trump signed an executive order (EO) regarding artificial intelligence (AI) development in the United States. The order provides new direction for federal agencies and [...]
Question: After getting a denial on a claim for a patient insured by an employment benefit plan, we submitted an appeal. Even though it was submitted within 180 days, we received a timely filing denial from the payer. What should we [...]
Question: After getting a denial on a claim for a patient insured by an employment benefit plan, we submitted an appeal. Even though it was submitted within 180 days, we received a timely filing denial from the payer. What should we [...]
Hint: Know the 4 PI objectives for PY 2024. If you think the Promoting Interoperability (PI) performance category is straightforward, think again. Providers’ reliance on tech before and after the pandemic has made the PI category an essential element that [...]
Hint: Know the 4 PI objectives for PY 2024. If you think the Promoting Interoperability (PI) performance category is straightforward, think again. Providers’ reliance on tech before and after the pandemic has made the PI category an essential element that [...]
The advisory body did finally back off one important area, however. Medicare has already proposed a 2.6 percent boost to hospice payment levels starting in October. But that could still change, if the Medicare Payment Advisory Commission gets its way. [...]
Noting current patterns could head off future denials. Appealing denials is time-consuming and painstaking; but they are a necessary evil, as winning them is an effective way to increase your practice’s bottom line. Background: Denials have been steadily on the rise [...]
Do your homework to defend your reimbursement reasoning. Although appealing denials isn’t convenient, winning them is an effective way to increase your otolaryngology practice’s bottom line. Plus, you can turn lemons into lemonade by using the experience to learn from [...]
Prevent future errors by noticing current patterns. Appealing denials isn’t convenient but winning them is an effective way to increase your anesthesia practice’s bottom line. Plus, you can turn lemons into lemonade by using the experience to learn from prior [...]
Pocket 7 top QPP and MSSP policies for next year. The 2023 rulemaking cycle was a banner year for Medicare’s quality and cost initiatives. So, it shouldn’t come as a surprise that the agency opted to refine programs and policies [...]
