Revenue Cycle News and Analysis

January 25, 2023
Medicare Insider

This week's Medicare updates include an FAQ on the JW/JZ modifiers, a revised version of the January 2023 OPPS update transmittal, new items on the OIG Work Plan, and more!

January 25, 2023
Briefings on APCs

Our experts answer questions about proper use of the -X{EPSU} modifiers, CPT coding for cervical dilators, and more.

January 25, 2023
Case Management Monthly

Julie, a case manager, understands that meeting the demands of the patient and family is important. However, she also knows that hospitals are responsible for safe discharges.

January 25, 2023
Medicare Insider

This week's Medicare updates include an FAQ on the JW/JZ modifiers, a revised version of the January 2023 OPPS update transmittal, new items on the OIG Work Plan, and more!

January 25, 2023
HIM Briefings

With reimbursement gains whittled down by CMS' attempt to remedy unlawful cuts to 340B drug payments, complying with updated Outpatient Prospective Payment System (OPPS) policies is key to protecting reimbursement. Take a closer look at CMS' latest policies and ensure your organization is in compliance.

January 25, 2023
Case Management Monthly

Case management directors who are planning to implement organizational change once the COVID-19 public health emergency ends need to consider new perspectives and strategies.

January 18, 2023
Case Management Monthly

One day, a woman came into the hospital after sustaining a severe head injury in an ATV accident. She was brought to the U.S. by her parents, who had not gone through proper legal channels to enter the country.

January 18, 2023
Briefings on HIPAA

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

January 18, 2023
HIM Briefings

Vaccine administration is a routine part of healthcare services, so it's important to know how to correctly code for them. Brush up on coding guidance for vaccines to ensure you're up to speed on the latest rules.

January 11, 2023
Case Management Monthly

Healthcare workers are fried, according to a survey recently published by JAMA Health Forum. Use these strategies to reduce staff burnout levels.

January 11, 2023
Briefings on HIPAA

When it comes to HIPAA compliance, there’s always something new to learn. In 2022, Paubox, a security provider, reported more than 3 million people were affected by breaches involving electronic medical records.

January 11, 2023
Briefings on APCs

The 2023 CPT code update introduced an option for reporting nasal valve collapse repairs, as well as revisions to certain injection codes to include imaging guidance.

January 11, 2023
HIM Briefings

Determining the principal diagnosis is a basic function of CDI review and critical to prioritizing subsequent reviews, but is often a challenging process and requires careful consideration and interpretation of regulatory guidance and collaboration with coding professionals. Use these tips to ensure your CDI and coding teams are on the same page.