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.
Understand CMS Changes to Compliance Training for Healthcare Providers under Medicare Advantage and Part D
Establishing and maintaining a well-designed compliance program is key to preventing, detecting, and mitigating noncompliance. The seven elements of an effective compliance program outlined in the Federal Sentencing Guidelines, sets the framework but there are additional requirements that need to be integrated into the compliance program in order to be effective.
Stephen Bittenger, Esq., to lead the presentation How Not to Be Accused of Health Care Fraud in 2020 at the Virtual Healthcare Compliance Symposium on April 23rd.
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?