Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

Blog

What Do Higher Levels of Service Say About What’s Happening in the ED?

An 85 percent increase per member in emergency department spending between 2009 and 2015 was the result of hospitals coding and billing for a greater number of high severity cases, according to a 2017 Health Care Cost Institute study. But what does this upward shift in evaluation and management levels say about what’s happening in the ED? READ MORE

When Is a Due Date Not Really a Due Date? Reviewing Indiana Medicaid Revalidations

Indiana Medicaid recently published a new list of providers who must revalidate their enrollment by the published due date. However, to ensure the revalidation is processed correctly, providers really should submit their revalidation application at least 30 days before the due date, says CIPROMS’ Denise O’Brien. READ MORE

© Copyright 2018