Tiffany Ferguson, LMSW, ACM, and Marie Stinebuck, MBA, MSN, ACM, CEO and COO at Phoenix Medical Management Inc., discuss why the best strategy to prevent denials related to medical necessity is a proactive approach that focuses on front-end processes.
Martin Fisher has been the director of information security and chief information security officer for Atlanta-based Northside Hospital for more than eight years. He discusses what’s top of mind in his role and what challenges lay ahead.
Among the proposed changes, many of which affect quality and data reporting programs, are proposed changes to claims data used for rate setting, a delay of the three way split criteria for Medicare Severity Diagnosis-Related Groups (MS-DRG), and more. Understand major proposals and their potential impact and how to provide feedback to CMS.
Dave Bailey, CISSP, knows firsthand what challenges arise daily for healthcare security officials. He explains what is on the minds of CIOs/CISOs and the security lessons learned from the COVID-19 pandemic.
This week’s Medicare updates include a proposed rule implementing certain provisions of the Consolidated Appropriations Act of 2021, a final rule for the CY 2023 policy and technical changes to Medicare Advantage and Part D plans, three OIG advisory opinions, and more!
A former nurse is now facing prison time after being convicted of negligent homicide and impaired adult abuse for a medical error that led to a patient’s death.
