Revenue Cycle News and Analysis

September 20, 2023
Medicare Insider

This week’s Medicare updates include CMS' list of Part B drugs with lower coinsurance, quarterly NCCI edits, updates to the OIG Work Plan, and more!

September 20, 2023
Briefings on APCs

When writing appeals for healthcare denials, being proactive and thorough can significantly improve the chances of overturning the denials.

September 20, 2023
Medicare Insider

This week’s Medicare updates include CMS' list of Part B drugs with lower coinsurance, quarterly NCCI edits, updates to the OIG Work Plan, and more!

September 20, 2023
HIM Briefings

Hospitals could be in for a price transparency compliance shake-up if CMS moves forward with its proposals in the 2024 Outpatient Prospective Payment System (OPPS) proposed rule. Learn how these proposals could affect your organization.

September 20, 2023
Briefings on HIPAA

Julia Huddleston, CIPP/US, CIPM, CCSFP, answers submitted questions on a variety of HIPAA topics.

September 20, 2023
Case Management Monthly

Case managers working with medically fragile children may have gotten a boost from a recent court case.

September 13, 2023
HIM Briefings

Although CMS is projecting higher overall inpatient hospital payments in the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule, some facilities could be facing tighter margins and lower payments for certain services. Learn what you need to do to ensure your organization is in compliance with new requirements.

September 13, 2023
Medicare Insider

This week’s Medicare updates include an OIG report on nursing home emergency preparedness and safety standards, instructions for processing services during disenrollment from the Program of All-Inclusive Care for the Elderly, and more!

September 13, 2023
Case Management Monthly

Use these expert tips to help your organization prevent social admissions.

September 13, 2023
Briefings on HIPAA

Government regulators that enforce HIPAA privacy and security compliance are doubling down this year on risk analysis and risk management as a primary avenue to safeguard protected health information.

September 13, 2023
Briefings on APCs

Providers and coders alike can find NCCI policies challenging to follow and apply. Denise Williams, COC, CHRI, explains the basics of NCCI by defining the initiative, edits, modifiers, and clinical procedure examples.

September 6, 2023
HIM Briefings

Accurate revenue code selection affects concerns central to the operations of healthcare provider organizations such as compliance and reimbursement. Apply this expert advice to ensure revenue codes are correctly assigned.

September 6, 2023
Briefings on APCs

Cardiopulmonary resuscitation (CPR) is a lifesaving treatment used when the heart or lungs cease to function. Whether CPR is conducted alone or with other services, Nancy Reading, RN, CPC, CPC-P, covers the various ways that CPR can be reported and how to do so.