Hospitals need to ensure that patients are placed in the right status from the start, so that patients have access to the benefits available to them.
There has been a lot of media attention to hospital charges recently. With the COVID-19 pandemic, The Centers for Medicare & Medicaid Services (CMS) worked miracles to allow health systems to be paid a facility fee for many remote visits to cover the overhead costs of such visits. The price transparency regulations require more ...
The changes will become effective in about three months, giving providers time to modify processes.
Clinical trials for the medication showed no significant improvement in patients.
Sudden reversals from CMS on the Inpatient-Only List and Ambulatory Surgical Center Covered Procedures List have infused confusion into the payment process for providers.
The imaging market in the United States is estimated to generate more than $100 billion annually. While approximately 60% of the imaging volume is conducted within hospitals, making imaging a key source of ...
The COVID-19 pandemic brought with it an unprecedented number of waivers and regulatory flexibilities that allowed physician practices to continue to provide care to patients in the office and hospital. But with these came significant confusion related to coding of services provided to patients during the public health emergency. This article ...
It is crucial to understand the differentiation between a denial for lack of medical necessity and a denial for incorrect status.