medical-billing-services-key-performance-indicators Blog Related Topics 
YouCompli
NOVEMBER 9, 2022
Compliant Billing for Critical Care Evaluation and Management Services. provides enforcement action summaries for the YouCompli blog. This month’s article looks at critical care services. Patients who are critically ill or injured usually need immediate, high-level medical care from a qualified clinician.
YouCompli
MARCH 29, 2022
Healthcare compliance officers often rely on the seven elements as key performance indicators to measure whether their organization’s compliance goals are achieved. Broadly, key performance indicators (KPIs) help leaders track organization impact, financial performance, and overall business health.
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YouCompli
DECEMBER 19, 2023
Here are a few areas I think are especially noteworthy: Arrangements (page 10): The GCPG provides a brief overview of pertinent laws and a list of “key questions” to assist with the determination of whether an arrangement violates the federal anti-kickback statute.
Healthcare Law Blog
SEPTEMBER 7, 2023
Takeaways of Workshop Discussion The public workshop drew key stakeholders from across the healthcare spectrum, each with differing perspectives on potential impacts of the proposed regulations and considerations for OHCA as it works to finalize them.
YouCompli
NOVEMBER 29, 2023
Here are a few areas I think are especially noteworthy: Arrangements (page 10): The GCPG provides a brief overview of pertinent laws and a list of “key questions” to assist with the determination of whether or not an arrangement violates the federal anti-kickback statute.
Healthcare Law Blog
MAY 5, 2022
Department of Health and Human Services Office of Inspector (“OIG”) released a report that studied prior authorization denials and payment denials by Medicare Advantage Organizations (“MAOs”) (the “Report”). Health care coding experts reviewed case files for all cases and physician reviewers examined medical records for a subset of the cases.
Healthcare Law Blog
NOVEMBER 2, 2023
population size of those 65 years and older continues to increase, the demand for long-term services and supports (“LTSS”) is also expected to increase. [1] 1] LTSS represents the wide-ranging health and social services that individuals require over an extended period of time, including assistive services. [2]
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