Maintaining and managing audits is one of the most time-consuming yet critical parts to ensure revenue integrity. Denial volume is on the rise, which is why auditing has become increasingly difficult. I recently wrote an article titled “Revenue Integrity: How to...
Each year HEDIS rating criteria is updated, meaning your organization needs to stay up-to-date on the latest news and trends for HEDIS compliance audits. Below we explore some common questions about HEDIS and review important information your team should know now and...
For a smooth-running revenue cycle, tap into the immense powers of this best practice tool. Wonder Woman has a golden lasso. Captain America has an impenetrable shield. Thor has a lightning hammer. Just as these magical tools bolster superheroes’ defenses, insights...
As the world prepares to navigate year three of COVID-19, the impact of the pandemic continues to touch every facet of healthcare. For health information (HI) professionals, demands to share patient information and support interoperability present multiple challenges...
Compliance officers and auditors today are tasked with responsibility for monitoring and auditing hundreds of rules and regulations that impact healthcare. More than ever before, a team-based approach is needed to manage the burden and ensure regulatory compliance....
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