Clinical and administrative staff at many organizations are struggling with the issue of what "medically necessary" really means - even those who have reviewed the Medicare Benefit Policy Manual (MBPM ...
Please provide your email address to receive an email when new articles are posted on . For several years, media reports alerted the U.S. public to inconsistencies in the delivery, consumption, costs ...
The significant cost in dollars, staff and time of claim denials makes medical necessity errors very risky for hospitals. Irene Barron, nTelagent COO and product management officer, explains how ...
One of the best defenses is a strong offense. This can be achieved by including a physician's medical necessity documentation in all or most charts. Q: One of the biggest challenges for case ...
Most hospital leaders understand the financial risk of prior authorization breakdowns. But another source of revenue leakage is gaining attention: claim denials tied to medical necessity. These ...
In a blog post, Anesthesia Business Consultants CEO and President Tony Mira examined the changing anesthesia documentation and billing landscape. Here’s what you should know. 1. The simple days of ...
The new study highlights the effectiveness of an automated system in optimizing laboratory test utilization, ensuring medical necessity verification, and streamlining payment processing. Laboratory ...
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