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Appropriate Use Criteria: What you Need to Know

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. 

Why payers can’t ignore the interoperability rules and should comply sooner rather than later

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.

Steering Clear of Legal Liability

Catherine Short speaks with Trey Scott, Coordinating Attorney for Kennedy, Attorneys & Counselors at Law located in Dallas, TX. The topic of today’s program is “Steering Clear of Legal Liability.” The discussion will help the audience navigate the choppy waters of potential legal actions that often arise in the world of healthcare. We will start with a basic overview of the typical steps leading up to the filing of a lawsuit. Listeners will also learn how to prepare for potential future litigation, and how to avoid simple mistakes that can later prove costly in a lawsuit.

Billing for Chronic Care Management: What Are the Problematic Issues?

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. 

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