Discover changes to CMS Rule 4204F, addressing Medicare appeal rights after inpatient-to-outpatient reclassification.
Understanding Beneficiary Appeal Rights After Inpatient-to-Outpatient Status Changes
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Brundage Group’s Success in Overturning Patient Status Denials from Kodiak’s Medicare Advantage Study
Discover how Brundage Group helps hospitals reduce denials, improve revenue capture, and streamline compliance through expert insights and data-driven solutions.
How to Improve Claims Denials Management and Capture Accurate Reimbursement in the Healthcare Revenue Cycle
Are you facing challenges with the health of your revenue cycle? The following tips will guide you…
What is the Denial Management Process in Medical Billing
As you navigate the medical billing landscape, denial management becomes key. This process…
How Clinical Documentation Impacts Commercial Payor Denials
You’re knee-deep in the medical field. You juggle endless tasks every day, from patient care to…
Denial Management in Healthcare
Facing a high volume of medical claim denials? Don’t worry; you’ve come to the right place…
Clinical Validation: Understanding Why Hospitals Are Vulnerable to Denials
Is your hospital receiving a high volume of clinical validation denials?
Optum (UHC) Profits from Denying ED Payments
Emergency departments (EDs), the US healthcare system “safety net”, are seeing…
Take control of Medicare Advantage denial challenges
The National Association of Healthcare Revenue Integrity (NAHRI) recently asked our…
Guest Blog: A Rebeginner’s Guide to Peer-to-Peer Appeals
Suggestions for conducting peer-to-peer appeals for denials. If you are wondering why…
Physician Advisor Perspective to Avoid a Potential DRG Clinical Validation Downgrade Denial of DRG 853
DRG 853 Infectious and Parasitic Diseases with OR Procedure w/MCC is Under Attack!