Revenue Cycle News and Analysis

May 13, 2021
Medicare Insider

This week's note from the instructor reviews the long-term care hospital payment and policy updates introduced in the FY 2022 Inpatient Prospective Payment System (IPPS) Proposed Rule. 

May 13, 2021
Medicare Insider

This week's note from the instructor reviews the long-term care hospital payment and policy updates introduced in the FY 2022 Inpatient Prospective Payment System (IPPS) Proposed Rule. 

May 12, 2021
Medicare Insider

This week’s Medicare updates include an extension to the Comprehensive Care for Joint Replacement model, updates to payments for ambulance services during the PHE, increased payments for monoclonal antibodies, and more!

May 12, 2021
HIM Briefings

National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUE) can throw a wrench in the Medicare billing process, delaying appropriate revenue. Learn how to apply recent guidance and best practices to resolve challenging edits.

May 7, 2021
Medicare Insider

This week's note from the instructor reviews the inpatient hospital payment and policy updates introduced in the FY 2022 Inpatient Prospective Payment System (IPPS) Proposed Rule. 

May 5, 2021
Medicare Insider

This week’s Medicare updates include the 2022 IPPS proposed rule, a handful of cost reporting form updates, an MLN Booklet on using the Medicare Physician Fee Schedule look-up tool, and more!

May 5, 2021
HIM Briefings

Proper use of suspense, or hold, periods can ensure claims are complete and accurate before they go out the door. But without careful monitoring and limits, these periods can create more problems than they solve. Take a look at the hows and whys of suspense periods to ensure your organization is using them appropriately.

May 1, 2021
Case Management Monthly
May 1, 2021
Briefings on HIPAA

Read about changes that could be coming for covered entities regarding records requests.

May 1, 2021
Briefings on APCs

Facility E/M coding reflects the volume and intensity of resources utilized by the facility during patient encounters. Joe Rivet, Esq., CCS-P, CPC, CEMC, CHC, CCEP, CHRC, CHPC, CICA, CPMA, CAC, CACO, describes how facilities can create internal guidelines and point systems for determining E/M level section.

May 1, 2021
Case Management Monthly

Inpatient or observation? Making this decision remains a considerable challenge at many hospitals—and when they get it wrong, it can also be a costly one.

May 1, 2021
Briefings on APCs
May 1, 2021
Briefings on APCs

Effective management of claim edits and denials is a cornerstone of a sound revenue cycle. See how your organization compares to others and what you can do to improve.