Revenue Cycle News and Analysis

November 16, 2022
Medicare Insider

This week’s Medicare updates include the 2023 update to the KX modifier threshold amounts, revisions to language in the Medicare Claims Processing Manual regarding instructions for billing hospital Part B inpatient services, enrollment application information for rural emergency hospitals, and more! 

November 23, 2022
HIM Briefings

Various analyses must be conducted to maintain compliance, assist with charge capture, solve account edits, and review any possible coding trends or issues that may cause claim delays, denials, or unnecessary rework. Learn how to effectively leverage this data to improve processes and protect revenue.

November 23, 2022
Briefings on APCs

Our experts answer questions about reporting COVID-19 vaccination status, ICD-10-CM and CPT coding for obstetric lacerations and repairs, and more.

November 23, 2022
Case Management Monthly

Case management directors have already felt the impact of the shortage, which has reached crisis proportions at times, and they are searching for solutions. Could case manager nurse travelers be the answer?

November 16, 2022
Briefings on APCs

Coding and billing professionals must ensure that medical record information is accurate, up to date, and compliant. In this article, Holly Cassano, CPC, CRC, defines late entries, corrections, and addendums, and explains the proper methods used to alter health records  while maintaining Medicare compliance.

November 16, 2022
Case Management Monthly

Maternal mortality is not the only pregnancy-related issue case managers will likely encounter. Perinatal mortality, a combined measure of fetal deaths after 20 weeks and infant deaths shortly after birth, is a profound trauma that may affect patients as well.

November 16, 2022
Medicare Insider

This week’s Medicare updates include the 2023 update to the KX modifier threshold amounts, revisions to language in the Medicare Claims Processing Manual regarding instructions for billing hospital Part B inpatient services, enrollment application information for rural emergency hospitals, and more! 

November 16, 2022
HIM Briefings

A CDI program’s ability to expand is directly dependent on current resources or immediate budgeted resources. Apply these tips to guide your organization's outpatient and ambulatory CDI strategies.

November 16, 2022
Briefings on HIPAA

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

November 9, 2022
HIM Briefings

The nervous system, also known as the body’s command center, controls movements, thoughts, and automatic responses to stimuli. Neurological diseases and disorders are the result of dysfunction in the brain, spinal cord, and nerves. Brush up on recent changes to these codes.

November 9, 2022
Briefings on HIPAA

The Office for Civil Rights (OCR) issued guidance on audio-only telehealth in June. This guidance provides helpful tips on how covered entities (CE) can use remote communication technologies to provide audio-only telehealth services in a manner consistent with HIPAA requirements.

November 9, 2022
Case Management Monthly

Disparities are present in all areas of healthcare, but one of the realms where the numbers are most stark is maternal health.

November 9, 2022
Briefings on APCs

The 2023 update to the ICD-10-CM code set includes over 60 new codes for intracranial injuries with loss of consciousness, status known. This article covers codes from the 2023 ICD-10-CM update that pertain to traumatic injuries of the brain, specifically the cerebrum, cerebellum, and brainstem.