Train your staff on the first batch of medically unlikely edits for CPT codes that went into effect January 1, 2026, along with new edits that just went into effect on April 1.
Discover why HIM professionals should treat the Office of Inspector General's (OIG) Medicare Advantage (MA) compliance program guidance as an operational checklist.
The phrase “don’t reinvent the wheel” applies well to the development of an outpatient CDI program when a mature inpatient CDI foundation already exists. The challenge is not whether the wheel can be reused, but how to navigate the differences.
Many organizations believe their websites are compliant, but experts who regularly audit healthcare digital properties say that exposure remains in less obvious places.
CMS kicked off the month of April by releasing a slew of proposed rules, spelling out its plans to update Medicare reimbursement and policies for a variety of facilities in fiscal year (FY) 2027.
Radiation oncology is a specialty utilizing radioelements either externally or internally to treat medical conditions such as cancer. This article serves as a primer for coding radiation oncology services.
HHS recently released updated model notices of privacy practices (NPP), introducing changes that go well beyond revising standard privacy notice templates.
