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Use key performance indicators (KPIs) to help ensure your claims are squeaky clean before they leave your practice. We all want to get paid for our work. For healthcare organizations, what prevents payment are claim denials from insurance companies. A revenue integrity program is the key to help avoid denials and to keep money flowing. […]
The post A Solid Revenue Integrity Program Begins With a Good Scrub appeared first on AAPC Knowledge Center.
Here’s what you need to know to protect your healthcare entity’s revenue stream. We all know that the heart is one of the most important organs of the body. The heart is responsible for multiple life-giving processes such as enabling the transportation of nutrients, hormones, oxygen, and waste products throughout the body. When your heart […]
The post Audits Are the Heartbeat of Your Compliance Program appeared first on AAPC Knowledge Center.
Knowing when and how to query providers is key. Documentation deficiencies occur in both outpatient and inpatient settings, but clinical documentation integrity (CDI) programs have been implemented primarily in the inpatient setting only. Poor documentation can impact code assignment, reimbursement, and patient care in any setting. As most organizations strive for excellence in these areas, […]
The post Build a Successful Outpatient CDI Program appeared first on AAPC Knowledge Center.
A new Medicare program aims to reduce the risk of type 2 diabetes (T2DM) in patients 60 and older by 71 percent. The goal of the Medicare Diabetes Prevention Program (MDPP), rolled out last year by the Centers for Medicare & Medicaid Services (CMS), is to help patients achieve at least 5 percent weight loss. Obesity […]
The post Medicare Diabetes Prevention Program: Coding Pre-Diabetes Services appeared first on AAPC Knowledge Center.
The Programs of All-inclusive Care for the Elderly (PACE) recently got a boost from the Centers for Medicare & Medicaid Services (CMS) final rule that modernizes the program to the “latest standards of in caring for PACE participants.” PACE Serves 45,000 PACE provides comprehensive medical and social services to certain frail, older folks who qualify […]
The post PACE Program for Frail Elderly Updated appeared first on AAPC Knowledge Center.
Beginning this month, nine HIPAA-covered entities — a mix of health plans and clearinghouses — will be randomly selected by the Centers for Medicare & Medicaid Services (CMS) for compliance reviews. Any health plan or clearinghouse — not just those that work with Medicare or Medicaid — may be selected. The CMS Division of National […]
The post CMS Begins Compliance Review Program appeared first on AAPC Knowledge Center.
It’s well worth the investment to review nine areas in your revenue cycle where integrity may be at risk. Revenue integrity is ensuring all charges are captured appropriately, documented sufficiently, and paid correctly. Every organization — whether a private physician practice or a major academic medical center — needs a comprehensive revenue integrity plan. Federal […]
The post Revenue Integrity: The Importance of a Solid Program appeared first on AAPC Knowledge Center.
Providers are billing G0177 and G0176, along with the 90853 Psychotherapy Group code. Should the activities and education training sessions be billing separately or should be bundled with the 90853?
Thanks!!!