Patient-Centered Hospital & Clinics Start Here

Navigating healthcare billing demands a closer look at how hospitals and clinics are reimbursed differently. Join us as we explore the challenges faced by facilities regarding status changes affecting payment and examine the impact of the new Inpatient final rule on appeals.
 
Our episode begins with a deep dive into the new Inpatient proposed rule on appeals, shedding light on its direct implications for hospitals’ reimbursement strategies and operational considerations.
 
Moving forward, we will confront a pivotal but often overlooked issue: the balance between investing in coder education and the substantial financial burden of denial-related expenses. Is training coders a strategic investment to mitigate costly denials? We’ll dissect this question, revealing potential long-term savings against denial-related costs.
 
From the debate around physicians handling coding responsibilities to the pitfalls of incorrect EMR system setups, we’ll unpack compliance risks and accuracy concerns tied to these decisions.

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