AHIMA released its CDI Practice Brief Monday. At Yom Kippur services, I found myself thinking about the question Dr. Ronald Hirsch posed to me the
New payment rules include a proposed rule to establish a new provider type Rural Emergency Hospitals (REHs). We have now reached the second half of
The federal government probably won’t be raising Medicare reimbursements next year, and physician organizations are strongly objecting. At its Jan. 13 meeting, the Medicare Payment
Medicare post-payment audits are estimated to have risen over 900 percent over the last five years. Let’s talk about post-payment audits – or, specifically, Recovery
The average cost of debunking a denial is $25 per claim, not to mention the continuous challenges associated with attaining timely payment. Reviewing denial management
The changes mark a fundamental shift to a regulatory provision that could have drastic financial ramifications for providers. The 2022 Medicare Physician Fee Schedule (MPFS)
CMS says it the goal is to support health equity while focusing on high-quality person-centered care. Increased leverage of telehealth for behavioral care, diabetes prevention
The problems are real, but the solutions are within reach. EDITOR’S NOTE: This is the first in a series in which Dr. Zelem explores issues
It is critical to submit comments on proposed rule on critical care. As I said last week, the Physician Fee Schedule Proposed Rule for the
Is split/shared billing really all about time? During my career as an emergency physician, I was the department expert in documentation and billing. In those
Federal officials are ordering plans and insurers to cover testing without cost-sharing – for virtually any purpose. Federal officials have issued new guidance intended to
Appeals court rules HHS has the authority to reduce payments. In November of last year, the Centers for Medicare & Medicaid Services (CMS) decided to
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