UnitedHealthcare announced recently that, starting January 1, 2019, they will use sepsis-3 criteria for validating sepsis claims.Read More »
With Autumn Reiter, RN, BSN, CCDS, CDIP, CCS, director of staffing services for TrustHCS.
To view the article Medicare Eases Readmission Penalties for Safety-Net...
It seems that there’s a new headline every day related to denials and audits. Not much has changed when it comes to the content of those...Read More »
Like a well-oiled machine, each component—or revenue cycle department—must function optimally to perform at its peak. Therefore, denial avoidance...Read More »
Over the past five months, thousands of patients have received notices from several insurance companies that Panos had posed as another doctor in...Read More »
DaVita Medical Holdings, a subsidiary of the dialysis company DaVita Inc., will pay $270 million to settle allegations that they incorrectly...Read More »
Denial management is traditionally focused on improving hospital revenue cycle and financial performance. Appropriate routing and handling of...Read More »
Clinicians working in ambulatory surgical centers may soon have more discretion over when to conduct comprehensive medical H&Ps, if CMS’...Read More »
In a ruling, a U...Read More »
Whether it be medical necessity, clinical validation, or coding-related—denials seem always...Read More »