Facing Challenges Uniting Providers, Coders, and Compliance Auditors?
Are you facing challenges uniting your providers, coders, and compliance auditors to navigate E/M coding guidelines accurately? You're not alone....
Is Volume Decline Hurting Your Medicare Reimbursement?
Is Volume Decline Hurting Your Medicare Reimbursement? Explore Volume Decrease Adjustment (VDA) Opportunities!
MAC Desk Review Checklist
Preparing for a MAC (Medicare Administrative Contractor) desk review is essential to ensure accurate cost reporting and compliance. Here are some...
The Appeals and Review Process for Claims
Palmetto GBA the MAC for Jurisdiction J Alabama, Georgia and Tennessee recently published some helpful information defining appeals and the review...
CMS' Latest MLN on Telehealth Services
CMS released it’s latest MLN on telehealth services in February of this year. The additions include the new codes allowed for CY2024, the new and...
Medicaid DSH Reductions
Federal law requires that state Medicaid programs make Disproportionate Share Hospital (DSH) payments to hospitals that serve a large number of...
What’s What: Medicare vs Medicaid and How They are Related
As providers continue to explore additional reimbursement opportunities, it is important to understand the similarities and differences of Medicare...
Medicaid Disproportionate Share Hospital (DSH) Program: What It Is and Recent Changes
Disproportionate Share Hospital Payments
Is your hospital prepared for a DSH Examination?
If your hospital underwent a DSH examination, how confident is your team with its current financial reporting?