Compliantly Optimize Healthcare Reimbursements
Denials and underpayments are defects in the revenue cycle that indicate a provider’s inability to comply with payer requirements or a payer’s inability to accurately pay a claim. CRN Healthcare Solutions works with practices to evaluate and implement lean process workflow denials management so that every dollar not paid which should have been paid is addressed and followed up.
No Changes to E/M Payment Until at Least 2021
The 2019 Physician Fee Schedule and Quality Payment Program final rule has come out. The Centers for Medicare & Medicaid Services (CMS) announced they are not going to make changes to payment for E/M until at least 2021. CMS Administrator Seema V… For more,...
ICD-11 Includes New Sections, Benefits
As we all just implemented ICD-10 changes for 2019, ICD-11 is being worked on. Don’t worry, it is not going to be implemented next year, but it is being planned for some time after 2022, which is actually not very far away. We will have just gotten us… For more,...
Appeals Backlog Gone in 4 Years: Medicare
By law, the Administrative Law Judge level of Appeals has 90 days to resolve appeals submitted to the ALJ level. However, the Department of Health and Human Services (HHS) Office of Hearings and Appeals (OMHA) has been unable to keep up with the numb… For more,...
Anthem Pays Largest HIPAA Fine
Anthem paid a $16 million settlement resulting from a series of attacks in both 2014 and 2015 that had the potential to expose personal health information (PHI) of 79 million people. Although they paid the $16 million settlement, Anthem does not adm… For more,...