Get ahead of AUC reporting requirements

August 7, 2019
HIM Briefings

Starting January 1, 2020, the education and operations testing period will kick off, and organizations will be required to report appropriate use criteria (AUC) consultation information. Learn what you can do now to help your organization prepare to report AUCs in 2020 and beyond.

Billing Q&A: Solving inpatient-only pain points

August 14, 2019
HIM Briefings

CMS’ inpatient-only rule seems simple enough on the surface—certain specified procedures, all noted in the OPPS inpatient-only list, must be performed on an inpatient basis regardless of the patient’s expected length of stay. But as with anything in healthcare, implementing this rule is hardly simple, and many organizations continue to misapply it and lose revenue as a result. Get expert answers to common inpatient-only compliance stumbling blocks.

Heard at HFMA 2019 annual conference: Three larger trends to watch

August 21, 2019
HIM Briefings

Use these three tips to catch up on strategies to adapt to the evolving reimbursement landscape.

Solve ED E/M leveling guidelines questions

August 28, 2019
HIM Briefings

Facility evaluation and management (E/M) coding is based on the facility resources utilized to provide medical care. Because CMS has not created national E/M guidelines for emergency department (ED) services, providers must create their own criteria for each visit level. Review your organization’s ED E/M leveling policies to ensure compliance.