Reimbursement

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.

Webinar Replay-Evaluation and Management Services- Fundamentals with Audit Risks For 2017

Since the implementation of ICD-10, strict documentation practices have become crucial to maintaining a climate of compliance — and avoiding government audits. As a new coder or auditor, not only is understanding E/M guidelines foundational to reimbursement, but also knowing how payors interpret national guidelines plays a key role in compliance.

Webinar Replay -The Great Eight: A Deep Dive into SNF PPS Final Rule

Reimbursement will dramatically change for skilled nursing homes over the next two and a half years. This session will detail the top ten things to know about the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Fiscal Year (FY) 2017 update. In addition, a detailed description of how the Value-Based Purchasing Program (VBP) and the SNF Quality Reporting Program (QRP) will be implemented is provided.

Join us as we break the Final Rule into the digestible pieces you need to ensure your facility proactively defuses the financial impact of this rule on October 2018:

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