by admin | Dec 14, 2016 | Hospital Revenue Cycle
Overview There is a great demand today for accurate, useful information on health care quality that can inform the decisions of consumers, employers, physicians and other clinicians, and policymakers. This is increasingly important as the health care system moves...
by admin | Dec 12, 2016 | Denials, Denials Management, Medical Necessity, Medical Necessity
Preventing Medical Necessity Denials KAREN HOPPE Although all hospitals must comply with a Medicare requirement that services provided to beneficiaries are reasonable and medically necessary for treatment and diagnosis, the criteria may be inconsistent among...
by Ed Slingsby | Dec 9, 2016 | Billing Terms, Coding, Edits
NCDs (National Coverage Determinations) and LCDs (Local Coverage Determinations) are decisions by Medicare and their administrative contractors that provide coverage information and determine whether services are reasonable and necessary on certain services offered by...
by admin | Dec 5, 2016 | Hospital Revenue Cycle, Revenue Cycle KPI's
KPI’s from HFMA MAP Keys program MAP Keys are industry-standard metrics or KPIs usedto track your organization’s revenue cycle performance usingobjective, consistent calculations. http://www.hfma.org/MAP/mapkeys/ map-award-tables_061616-2 Share...
