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.
Ascension Enters Contract with Google to Share PHI
If you are a patient of Ascension in the St. Louis, Mo., area, Google has your healthcare protected health information (PHI). Patients and doctors of the second largest Catholic health system in the United States have not been notified that their data… For more,...
OIG Uncovers Medicare Overpayments for Chronic Care Management Services
Chronic care management (CCM) services are services that do not involve face-to-face patient/provider contact. The Centers for Medicare & Medicaid Services (CMS) implemented Medicare coverage for CCM in Jan. 1, 2015. There are very specific guid… For more,...
Pharmaceutical Compounding Chapter Revisions on Hold
But for how long, nobody knows. allergy, otolaryngology and primary care practices can breathe a sigh of relief, as the new Compounding Pharmacy USP standards set to go into effect Dec. 1, 2019, have been postponed as a result of appeals. The revision… For more,...
How Many Units of 95165 Can You Bill, Really?
Three credible sources give three different answers, and only one is right. The definition for billing units of allergy serum preparation for patients was recently challenged by a colleague of mine who works in the allergy space. Are there limitations… For more,...