Please fill out the fields below to receive updates and information about current and future Finally Friday! broadcasts. All fields below are required.
Please fill out the fields below to receive updates and information about current and future Finally Friday! broadcasts. All fields below are required.
The most interesting exchange is at 44:00 in…
“Scope Creep” in Appeals is Dead CMS has instructed MACs and QICs to limit their review to the reason(s) the claim or line item at issue was initially denied. For redeterminations and reconsiderations of claims denied following a complex prepayment review, a complex post-payment review, or an automated post-payment review by a contractor, Limiting the scope of review on redeterminations and reconsiderations of certain claims. MLN Matters Number SE1521.
CMS should focus its billing audits less on verifying medical necessity and more on rooting out blatant fraud, the agency’s likely next secretary said Tuesday. Rep. Tom Price, R-Ga.
Pingback: “Finally Friday!” Audit Risk Score: What Do YOU Measure? | Appeal Academy
Pingback: “Finally Friday!” Condition Code 44: Requirements & Review | Appeal Academy
Pingback: “Finally Friday!” How to Handle Outpatient-in-a-Bed? | Appeal Academy
Pingback: “Finally Friday!” Can CDI Specialists Offer More Help? | Appeal Academy
Pingback: “Finally Friday!” The Definition of Inpatient | Appeal Academy
Pingback: “Finally Friday!” Better Documentation: Teaching a Different Focus | Appeal Academy
Pingback: “Finally Friday!” How Your Claims May Be Inviting Audits | Appeal Academy
Pingback: “Finally Friday!” How Do You Talk to Your C-Suite? | Appeal Academy
Pingback: “Finally Friday!” Where Are We With the RACs? | Appeal Academy
Pingback: “Finally Friday!” Learn the Keys to Fight Commercial Audits | Appeal Academy
Pingback: “Finally Friday!” Ambulatory Self Audits & Odd ALJ Errors in Law | Appeal Academy