ICD-10

Webinar Replay - Chargemaster Management & Data Integrity

As a living document, the chargemaster should be updated at a minimum on a quarterly basis, but there is need for daily changes: departments add and remove charges, payers update contracts, and a regulatory environment in flux demands constant updates. Healthcare organizations know they can improve the integrity of their revenue programs through ongoing review and maintenance of their chargemaster, but many struggle with best practices in the face of complexity.

Webinar Replay- Understanding Coding, Coverage and Payment rules for Spinal Procedures

Payers have tightened restrictions on coverage requirements for spinal fusion procedures. The prior-authorization process has gotten more specific, down to the specific device. Denials are up for the whole procedure if the device is non-covered.

Join Patty Telgener RN, MBA as she reviews the changing coverage landscape for spinal cord stimulation procedures and devices, new thinking about efficacy for spinal fusion procedures, coding and payment for spinal procedures under Medicare, IPPS, OPPS and ASC systems, as well as regulatory changes and audit activity.

Keeping up with MS-DRG Revisions

Rayellen Kishbach's picture

CMS has issued two errata and correction notices for how MS-DRG logic functions in FY2017. These changes may impact payment. This article highlights a few examples.

It is important to note that CMS published v34 r2 in time for implementation on 10/1/2016, but the v34 r3 was released after claims for FY2017 had begun, so improper payments may have occurred.

Pages

Subscribe to RSS - ICD-10