July 22, 2020
HIM Briefings

The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a rich source of data. Consider how to use the PEPPER to guide coding and CDI process improvements.

July 8, 2020
HIM Briefings

CDI teams have had to adapt quickly to rapid changes. Understand how CDI leaders have modified practices to support their organizations, their teams, and their communities.

June 10, 2020
Medicare Web

CMS updated its Medicare billing FAQs to include new questions related to National Coverage Determinations (NCD) during the novel coronavirus (COVID-19) public health emergency (PHE).

June 3, 2020
HIM Briefings

CMS packed some potentially game-changing proposals into a pared-down fiscal year (FY) 2021 inpatient prospective payment system (IPPS) proposed rule. Understand how these proposals could have far-reaching implications for hospitals.

June 1, 2020
Briefings on APCs

In this article, Joel Moorhead, MD, PhD, CPC, breaks down ICD-10-CM code selection for cerebrovascular diseases, transient cerebral ischemic attacks, and peripheral neuropathies.

May 1, 2020
Briefings on APCs

Modifier -22 indicates that the procedural work performed by the provider or surgeon was substantially greater than what is typically required. The application of this modifier allows providers to receive additional reimbursement for a procedural service that was especially challenging, time-consuming, or unusual.

May 6, 2020
Medicare Web

CMS updated its novel coronavirus (COVID-19) fee-for-service billing FAQs on April 23 and May 1. The updated FAQs address the appropriate use of disaster-related modifiers, remote physiological monitoring (RPM), and more.

May 6, 2020
HIM Briefings

HIM professionals are being challenged like never before. By focusing on practical steps, closely monitoring official guidance, and embracing flexibility, they can stay on top of their duties.

May 1, 2020
Medicare Web

CMS released a new interim final rule with comment period that grants organizations another round of flexibilities to meet the challenges of the COVID-19 public health emergency, including permitting hospitals to bill for telehealth services and loosening restrictions on COVID-19 testing.

April 22, 2020
HIM Briefings

Clinical validation reviews and queries ensure that the documented diagnoses and clinical indicators hold up to inspection. Use these strategies to head off clinical validation reviews and improve documentation.

Pages