BC Advantage - 2017 Issue 5

Drop Down List Getting You Down?

As a healthcare professional, there are two challenges that can impact not only your productivity, but your organization's revenue. These two challenges are: not having the exact code at your fingertips, and not having your Medical Necessity policy available to support your Program Integrity Plan with the correct code combinations. The Center for Medicare and Medicaid (CMS) has determined that most improper payments in the Medicare Fee for Service (FFS) program, are due to the provider not being in compliance with Medicare's coverage, coding, or billing rules.1 If your organization or health system is not following the compliance...

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