coding
publication date
Payer
Medicare Overpaid $22.5M for Incorrect Place-of-Service Codes
The Office of Inspector General (OIG) uncovered overpayments in 2019 and 2020 for care provided to Medicare beneficiaries.
Revenue Cycle
Payer Reverses Course on Controversial Documentation Policy
Cigna is taking heed at its "burdensome" documentation requirement.
Revenue Cycle
Leaders Agree, The Revenue Cycle Needs More Denials Management Expertise
Hundreds of leaders were asked which rev cycle tasks require the most subject matter expertise.
Revenue Cycle
Defending Revenue Cycle Claims in Light of New Payer Policies
Cigna recently made a big change in how they will pay certain claims.
Revenue Cycle
Targeting Your Approach: Fighting Payer Denials in Revenue Cycle
One leader has found that using a targeted approach by creating contract experts is a key to warding off payer...
Revenue Cycle
NW Arkansas Hospitals Will Pay $1.1M to Settle Medicaid False Claims Allegations
The health system denies intentionally filing false billings, and has worked with regualtors to resolve the case.
Revenue Cycle
Medical Groups Voice Concern Over Payer's New Coding Policy
More than 100 medical associations have taken issue with a new policy from Cigna regarding claims coded with modifier -25.
Revenue Cycle
Medicare Paid Providers $128M in Duplicate Payments for VA Care
Auditors blame CMS for failing to establish a data-sharing agreement with the VA.
Revenue Cycle
CMS Releases Proposed ICD-10-CM Codes for 2024
395 new diagnosis codes have been proposed by CMS for fiscal year 2024.
Payer
Bill Introduced to Combat Medicare Advantage Upcoding
The legislation aims to reduce overpayments to Medicare Advantage (MA) plans.
Revenue Cycle
New ICD-10-CM/PCS Codes Now in Effect for Rev Cycle
As of April 1, coding teams now have 42 new diagnosis codes and 34 new ICD-10-PCS procedure codes to choose...
Revenue Cycle
Safeguard Reimbursement: Coding Teams to See Outpatient Reporting Changes
The American Medical Association (AMA) recently detailed coding changes for evaluation and management reporting.