The California Department of Managed Health Care has fined Aetna $500,000 for denying almost 93% of investigated emergency department (ED) claims.
Trouble viewing? See it online! Friday, October 2, 2020
 

News
Aetna fined half a million dollars for denying ED claims
Source: ACDIS
The California Department of Managed Health Care has fined Aetna $500,000 for denying almost 93% of investigated emergency department (ED) claims.
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The 2021 E/M trio to tackle: Time, MDM table, and telehealth

Join HCPro coding experts Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, and Yvette DeVay, MHA, CPC, CPMA, CIC, to learn how the 2021 E/M changes may impact your bottom line and how training providers and coding staff on the new rules will get you through this transition seamlessly.
 

Revenue Cycle Advisor Subscriber Content

Strategies to address a surge in homelessness
Source: Revenue Cycle Advisor
For case managers, working with patients experiencing homelessness is always a challenge. But now, amid the novel coronavirus pandemic, many fear the problem will soon grow exponentially worse.
 

Daily Q&A
Q&A: Reporting shared visit services using the 2021 E/M guidelines
Source: Revenue Cycle Advisor
Q: During an outpatient visit, a nurse reviews the patient’s medical history and a physician performs an examination in the presence of the nurse. If you adhere to the 2021 E/M guidelines and use time as the controlling factor for code selection, can you report one E/M code for these shared services?

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CHRI Exam Study Guide

The CHRI Exam Study Guide is the one resource that revenue integrity professionals can rely on to prepare for and pass the CHRI Exam. The study guide includes access to the CHRI Practice Exam and accommodates techniques learners may wish to use in their exam prep: taking notes, highlighting sections, creating flash cards, or a combination of strategies
 

    

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