Monday, July 24, 2017
10-10:30 a.m. ET; 7-7:30 a.m. PT
SPECIAL GUEST
Robin Zweifel, BS, MT(ASCP),
Panacea Healthcare Solutions
ALSO FEATURING
Janelle Ali-Dinar, PhD; Nancy Beckley, MS, MBA, CHC;
Ronald Hirsch, MD, FACP, CHCQM; David Glaser, Esq.;
and Edward Roche, PhD, JD
A North Carolina hospital system recently agreed to pay the federal government $6.5 million to resolve allegations that it violated the False Claims Act by “upcoding” claims for urine drug tests in order to receive higher payment than allowed. At issue were two different payments for two different codes – G0431 and G0434 – and the use of the QW modifier.
Reporting on our lead story during the next edition of Monitor Mondays, at the suggestion from a RACmonitor reader, will be Robin Zweifel with Panacea Healthcare Solutions. Zweifel, who writes extensively on drug and laboratory compliance issues, is expected to get to the bottom of this alleged upcoding predicament that other facilities are encountering as well.
The broadcast rundown also includes:
Register now for this readers-choice news broadcast coming your way on Monday, July 24, 2017 at 10 a.m. ET.
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Today we will finish up our look at pain coding, specifically acute pain, chronic pain, and neoplasm-related pain issues. G89.1 is our subcategory for acute
The lifting of regulatory limits on artificial intelligence (AI) in healthcare has the potential to revolutionize the industry, enabling faster diagnoses, more personalized treatments, and
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Physician queries are essential for accurate documentation and claims data, but they are increasingly scrutinized by payors, leading to denials and revenue leakage. This webcast, led by industry expert Cheryl Ericson, RN, MS, CCDS, CDIP, provides actionable strategies to craft compliant queries, reduce denials, and enhance revenue integrity. Attendees will gain insights into clinical validation queries, how to avoid common pitfalls, and learn best practices to defend against query denials. Don’t miss this opportunity to refine your query process and protect your organization’s financial health.
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