Racmonitor.medlearn.com

The New Outpatient SDoH Codes: How they Apply and What Can …

WebCommunity Health Integration: G0019 and G0022. The Community Health Integration (CHI) codes are billed as a monthly charge, initiated after a provider visit in …

Actived: 8 days ago

URL: https://racmonitor.medlearn.com/the-new-outpatient-sdoh-codes-how-they-apply-and-what-can-be-done/

Understanding the U.S. Playbook to Address the Social …

WebThe Biden Administration has released a new playbook addressing three “pillars” of emphasis related to the social determinants of health (SDoH), from the …

Category: Health Go Health

Latest News: SNF and the Social Determinants of Health

WebTo assure budget neutrality, CMS is proposing to decrease SNF payments by 4.6 percent, which equates to about $1.7 billion. The adjustment is coming as a recalibration of the …

Category: Health Go Health

United Healthcare’s Medicare Advantage and the Two-Midnight Rule

WebRonald Hirsch, MD, is vice president of the Regulations and Education Group at R1 Physician Advisory Services. Dr. Hirsch’s career in medicine includes many clinical …

Category: Medicine Go Health

The Rising Cost of Blood Thinners: A Burden on Medicare and …

WebSeptember 18, 2023. According to a new report by Patients for Affordable Drugs, Medicare spent an astonishing $46 billion on just two blood thinners between 2015 and 2020. …

Category: Health Go Health

What Case Managers Need to Know About the 3-Day Rule for SNF …

WebThe end of the public health emergency (PHE) brings new challenges regarding the old Three-Day rule. The three-day stay for Medicare patients is the …

Category: Health Go Health

New Hospital Reporting Requirements for SDoH – RACmonitor

WebNew Hospital Reporting Requirements for SDoH. By Tiffany Ferguson, LMSW, CMAC, ACM. October 5, 2022. CMS has implemented two measures under its Hospital …

Category: Health Go Health

How Social Determinants of Health Documentation Impacts …

WebThe government and private sector are addressing the importance of SDoH data to assess and alleviate healthcare disparities and inequities. Advanced practice …

Category: Health Go Health

New versus Established Patients: Do you Know the Rules and …

WebAnother important difference between the codes is that the new patient codes (99201–99205) require that all three key components (history, exam, and medical …

Category: Medical Go Health

Evaluating Healthcare Workforce Shortages – and Efforts to …

WebThe past three years have been rife with turmoil in the staffing sector of the healthcare industry. A recently published study found that more than 145,000 healthcare …

Category: Health Go Health

Making the Case for Clean Claims – RACmonitor

WebIn CMS Manual System, Pub. 100-04, Medicare Claims Processing, dated July 20, 2007, CMS uses the phrase “other-than-clean” to describe an unclean claim. …

Category: Health Go Health

Important: New Reimbursement Options for Caregiver Training

WebCMS is proposing additional reimbursement for what is called Community Health Integration (CHI) services. These are the services that a physician or provider …

Category: Health Go Health

The Art of the Physician Query – RACmonitor

WebAn effective query process aids the hospital’s compliance with billing/coding rules. According to the American Health Information Management Association (), …

Category: Health Go Health

What’s the Difference: Managed Care Organizations and Medicare

WebThese contracts, like RAC contracts, incentivize finding fraud. We all know that the RAC contracts used to read, for example, if you accuse a provider of owing $12 …

Category: Health Go Health

$25 Million Medicaid Settlement Reached over Violations of False …

WebThe settlement pertained specifically to H.I.G. Growth Partners and H.I.G. Capital. In recent years there has been a proliferation of private equity firms taking …

Category: Health Go Health

Fighting Back Against Medicare Advantage SNF Denials: Part 1

WebMedicare Advantage (MA) companies continue to be a hot topic in the news, as their market penetration continues to increase despite ongoing concerns regarding …

Category: Health Go Health

Keeping Health Information Human: AHIMA Celebrates 32nd …

WebFOR IMMEDIATE RELEASE For more information, please contact: Mike Bittner Media and Communications Manager 312-233-1087 [email protected] Health Information …

Category: Health Go Health

Making Meaning out of Avoidable Days – RACmonitor

WebMaking Meaning out of Avoidable Days. By Tiffany Ferguson, LMSW, CMAC, ACM. December 7, 2022. Avoidable days can impact patient care and social …

Category: Health Go Health

Rebooting “Observing the Rules for Observation After Outpatient …

WebOctober 25, 2023. Written in March 2013 by the highly respected Dr. Steven Meyerson, “Observing the Rules for Observation after Outpatient Surgery” evolved over time into …

Category: Health Go Health

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