DRG Deception? How DRG Abuse Inflates Sepsis Claims

DRG Deception? How DRG Abuse Inflates Sepsis Claims

Understanding Diagnosis Related Group billing (DRG) is crucial for ensuring fair and accurate payments for the care insurance companies provide coverage for. Let us break down what it means and how it affects hospital reimbursements. What is DRG Billing and How Does...
Decoding Annual Wellness Visits (AWV)

Decoding Annual Wellness Visits (AWV)

Medicare lays out clear guidelines for Annual Wellness Visits (AWV), including Personalized Prevention Plan Services (PPPS). There are a number of specific requirements of these visits in order to be eligible for reimbursement. Providers will develop a personalized...
What You Should Know About LEQEMBI

What You Should Know About LEQEMBI

LEQEMBI is a newly approved drug by the U.S. Food and Drug Administration (FDA) for the treatment of Alzheimer’s disease. According to the FDA, “Alzheimer’s disease is an irreversible, progressive brain disorder affecting more than 6.5 million Americans that slowly...