Clinical Decision Support Mechanisum (CDSM) and the Appropriate Use Criteria (AUC) Program
The following information appeared on, CMS.gov The CMS Mandate governing the new Clinical Decision Support Mechanism (CDSM) and the Appropriate…
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Low claims clearance? Before blaming billers and coders, check chain of custody
Standards for judging coding and billing performance should go beyond simple measurement of denial rates. To achieve better assessments, you…
October Quarterly Update to 2021 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
The following information appeared on, CMS.gov The consolidated billing (CB) requirement confers on the SNF the billing responsibility for the…
Authorization Bill for Medicare Advantage Plans
The following information appeared on, Delbene.house.gov A new House bill was introduced and is moving forward under the current name…
Note Bloat and Clinical Plagiarism Study at UCSF Medical Center
The following information appeared on, JAMA A 2017 study at the University of California San Francisco Medical Center of over…
Beckers’ Payer Issues—Release June 10, 2021
The following information appeared on, Beckers Hospital Review. Morgan Haefner’s piece on the UHC delay of their retro review policy…