News & Analysis

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
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 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 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.

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