I recently came across a denial indicating that a query was noncompliant because it did not include evidence why the query was needed. I was flabbergasted by the auditor’s denial, because the purpose of the query was to clarify the type of debridement performed by an orthopedist. I guess I
There are few perfect things in this world, and hospital operations are not one of them. While multitudes of individuals – clinical and non-clinical –
Last August, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) reported its findings on a review of certain MS-DRGs
On March 12, The Centers for Medicare & Medicaid Services (CMS) Innovation Center announced significant changes to its model portfolio to better align with its
Dear Fellow Colleague, Your help is needed. And that’s why I’m reaching out to you directly with this letter. I wish I had the time
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