by skywaymedia | Apr 29, 2019 | Denials, Physician Advisors, Utilization
Take control of Medicare Advantage denial challenges The National Association of Healthcare Revenue Integrity (NAHRI) recently asked our medical director, Dr. Tim Brundage, for his insight on Medicare Advantage denials. Click to read the complete NAHRI Journal...
by skywaymedia | Apr 19, 2019 | Denials, Physician Advisors
Guest Blog: A Rebeginner’s Guide to Peer-to-Peer Appeals By: Michael A. Salvatore, MD FACP CHCQM, Physician Advisor Suggestions for conducting peer-to-peer appeals for denials If you are wondering why you should read this if you think you are not a rebeginner, well,...
by skywaymedia | Apr 10, 2019 | Denials, DRG Validation
Physician Advisor Perspective to Avoid a Potential DRG Clinical Validation Downgrade Denial of DRG 853 By: Trey La Charité, MD, FACP, SFHM, CCS, CCDS, Brundage Group Physician Advisor DRG 853 Infectious and Parasitic Diseases with OR Procedure w/MCC is Under Attack!...