CMS released its list of quality measures under consideration (MUC) in November and the National Quality Forum’s (NQF) Measure Applications Partnership (MAP) begun its annual review of the list, according to a blog post from the American Association of Professional Coders (AAPC).
You can’t manage what you don’t understand. So, the first step in any effective denials management program is to develop an understanding of the what constitutes a denial, as well as the different types of denials and their contributing causes.
As the healthcare industry shifts from traditional fee-for-service to a value-based and quality-driven model, CDI specialists should be aware of the principles that drive risk adjustment payments. “I describe it as traveling down parallel to that which we travel to establish the DRG,” says...Read More »