Revenue Cycle News and Analysis

January 15, 2025
Medicare Insider

This week’s Medicare updates include revised FAQs on hospital price transparency requirements, the January 2025 update to the ASC payment system, and more!

January 15, 2025
News & Insights

As CDI efforts continue to expand in the outpatient setting, review strategies to ensure medical necessity is properly documented.

January 15, 2025
HIM Briefings

Examine the decline of core HIM skills, the consequences of their erosion, and some steps leaders can take to restore them. 

January 15, 2025
Medicare Insider

This week’s Medicare updates include revised FAQs on hospital price transparency requirements, the January 2025 update to the ASC payment system, and more!

January 15, 2025
Briefings on APCs

Our experts answer questions about coding autologous skin cell transplants, prescription drug management, and limited and extensive debridement.

January 8, 2025
Briefings on APCs

Physicians and other qualified healthcare professionals have the flexibility to select an evaluation and management level based on either the complexity of medical decision-making or the total time spent on the date of the encounter. This article covers documenting E/M services based on time.   

January 8, 2025
HIM Briefings

Find out what HIM professionals need to know about updated HIPAA Right of Access guidance.

January 8, 2025
News & Insights
January 8, 2025
News & Insights

CMS determined the improper payment rate for immunosuppressive drugs was 15.7% in 2023, with a projected improper payment amount of $43.2 million. Organizations should review CMS' guidance on proper billing codes, coverage criteria, common denial reasons, and documentation requirements.

January 8, 2025
News & Insights
January 8, 2025
Medicare Insider

This week’s Medicare updates include new COVID-19 vaccine payment rates, several public health emergency extensions, and more!

January 1, 2025
Briefings on APCs
January 1, 2025
Briefings on APCs

Patients diagnosed with a malignant neoplasm, commonly known as cancer, are now living longer due to better treatments. In 2025, there are 47 new ICD-10-CM codes to be used to report lymphoma in remission. This article broadly reviews those new codes.