Q A

Can we adjust a denied Medicare charge off of an account when an appeal is still open? 

What is the best practice target for denial write-offs as a percent of net revenue? 

Outside of the days cash on hand (DCOH) liquidity metric, what other cash or payment term metrics are useful? 

What household expenses are required to determine financial assistance eligibility? 

If the overseeing psychiatrist at a clinic is initiating a treatment plan and signing all documentation done by licensed social workers, are these professional services billable to our Medicare Administrative?

I am looking for assistance with the cost report treatment for our new intensive cardiac rehabilitation service. In most respects, this service operates like a department of the hospital.

Can you recommend a book that would improve my understanding of the collaboration between IT and the patient billing process?

It is my understanding that payments and adjustments must be allocated evenly/individually based on the insurance payment itself. Can you share any documentation that states how payments are to be posted to charges on a compliance level?

Our health system has a new obstetrician/maternity group that it wants to promote on our website and through mailings and e-mail campaigns. Are there any Stark Law or anti-kickback issues that we should be aware of?

Our hospital is beginning to feel the sting of payers steering their members from scheduled high-end imaging procedures at our facility to free-standing imaging centers. How are other hospitals and health systems responding to or reacting to this practice?