Catherine Short speaks with Melody Mulaik, President of Revenue Cycle Coding Strategies to address a current hot topic, “Appropriate Use Criteria: What you Need to Know.” 2021 is also going to be an official CMS testing year for AUC/CDS implementation. This episode will identify specific areas of concern for your organization regarding AUC/CDS implementation, help you to facilitate discussions with all stakeholders to ensure all perspectives are heard and addressed, and assist in designing actions that can be taken to facilitate a successful implementation to ensure revenue is not negatively impacted.
Catherine Short speaks with Dr. Chris Hobson, Chief Medical Officer for Orion Health. The topic of today’s program is “Why payers can’t ignore the interoperability rules and should comply sooner rather than later.” The Interoperability and Patient Access final rule approved by CMS and ONC is intended to advance patient participation through access to their health information and to drive advanced interoperability and innovation across the U.S. These rules will have significant impact on payer organizations who are currently facing unprecedented times.
Catherine Short speaks with Markus P. Cicka, J.D., LL.M. (Health Law), owner of the Law Office of Markus P. Cicka, LLC, a law firm based in Saint Louis, Missouri, about the topic of “Billing for Chronic Care Management: What Are the Problematic Issues?” We will discuss what is chronic care management, have an understanding of who exactly can bill for providing chronic care management services, and discover what are recent chronic care management billing issues that have been flagged by the OIG.
Catherine Short speaks with Courtney Tito, Esq., Member of the Health Law group at McDonald Hopkins, LLC in its West Palm Beach office about “Payor Disputes and Audits: Observations & Strategies.” Our discussion will help listeners better understand the payor audit process and prepare the organization to respond. We will talk about the payor audit process from the government perspective and compare and contrast typical government audits with typical commercial audits. Finally, we will identify some best practices that providers can implement now to prepare for payor audits.
Sonal Patel, Health Care Coder and Compliance Consultant for Nexsen Pruet, recently presented the webinar “Compliant Coding & Billing For TeleHealth During COVID-19”. Sonal returned to answer many commonly asked questions on our blog in relation to this presentation.
Markus P. Cicka, J.D., LL.M. (Health Law) owner of the Law Office of Markus P. Cicka, LLC, presented the webinar Making Your Referral Sources Legal. Here, Markus joins us on our blog concerning Billing for Chronic Care Management: What are the Problematic Issues?