June 12, 2019
HIM Briefings

Inpatient rehabilitation facility documentation compliance is coming under scrutiny. Learn how you can improve processes, strengthen compliance, and avoid costly audits.

June 5, 2019
HIM Briefings

Put CMS’ proposed changes in perspective to see the bigger picture. Comments are due June 24, so hospitals will need to conduct a careful analysis to determine the impact of the proposed changes and submit specific feedback.

May 15, 2019
Medicare Web

HHS failed to meet targeted improper payment reductions for Medicaid and the Children’s Health Insurance Program and has not implemented a required recovery audit plan for Medicare Advantage, according to an Office of Inspector General (OIG) report.

May 15, 2019
HIM Briefings

Review the provider documentation and operative report below and consider the ICD-10-PCS codes to be reported.

May 8, 2019
Medicare Web

A recent MLN Matters article clarifies language in the Medicare Claims Processing Manual to match current documentation policy for evaluation and management (E/M) services billed by teaching physicians.

May 1, 2019
HIM Briefings

The Office of Inspector General is stepping up audits of inpatient rehabilitation facility (IRF) claims. Use these expert tips to ensure your facility is coding and billing correctly for these services.

April 17, 2019
HIM Briefings

AHIMA and ACDIS recently updated their collaborative practice brief “Guidelines for Achieving a Compliant Query Practice.” Learn what’s new and what you need to do.

April 10, 2019
Medicare Web

Representatives from CMS and the Office of Inspector General (OIG) discussed hot topics and focus areas at HCCA's 2019 Compliance Institute in Boston, including developing interactive documentation checklists, potential changes to Stark Law this year, and methods to address the high rate of coding and documentation errors on inpatient rehabilitiation facility (IRF) claims.

April 1, 2019
Briefings on APCs

Providers will find significant leeway in how they can approach and report advance care planning services for physicians given CMS’ open-ended coding requirements, which should push the already strong growth of the codes to new heights.

April 3, 2019
Medicare Web

The Government Accountability Office (GAO) recommended that CMS assess and strengthen documentation requirements and medical reviews to more effectively prevent improper payments.

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