Care in the home is effective and desired by beneficiaries, advocates stress. All eyes are on Congress as the fate of the Hospital at Home waiver hangs in the balance. Recap: Medicare’s Hospital At Home waiver, which was created during [...]
Plus: MAC denies $2.1 million in GIP claims. One HHH Medicare Administrative Contractor seems to be wasting no time resuming post-payment medical review of claims from the COVID-19 public health emergency. The Centers for Medicare & Medicaid Services recently announced [...]
Project reached 1.7 million people last year. The fanfare over the Senior Medicare Patrol has died down since the program’s debut in 1997, but the fraud-fighting initiative is still going strong — and racking up millions in related recoveries. In [...]
Tip: Focus on the nail to make an accurate choice. Test your knowledge on the multitude of codes for open wound of the toe by looking at the questions below. Remember that damage to toenail and associated infections are distinguishing [...]
Hint: Make sure you know whether the patient has nail damage or not. Reporting diagnosis codes for open wounds of the toe can be challenging because there is so much information you must know such as whether the patient sustained [...]
Major chains make big acquisitions. Amedisys Inc. will beef up its hospice presence with a $340 million acquisition of 24-state chain Compassionate Care Hospice. When publicly traded Amedisys completes the acquisition of the Parsippany, New Jersey-based hospice chain, it will [...]
Market consolidation continues, especially for the hospice sector. Amedisys Inc. will beef up its hospice presence with a $340 million acquisition of 24-state chain Compassionate Care Hospice. When publicly traded Amedisys completes the acquisition of the Parsippany, New Jersey-based hospice [...]
Plus, a handy template that will help you write the perfect appeal letter every single time. During time working for a major insurer, Annie Boynton, MSJ, RHIT, CPCO, CPMA, CCS, CPC, CCS-P, COC, CPC-P, CPC-I, saw lots of appeals from [...]
See if you qualify for low volume appeals settlement. If you hate appeals but aren't willing to settle for unpaid claims in your general surgery practice, you might have more options at your disposal than you knew. Depending on the [...]
Brush up on tips to turn that stack of denials into cash your practice deserves. Finally, a chance to pierce the veil: What are payers thinking when they see your denials? How can you adjust your appeal so payers pay [...]
