July 24, 2019
HIM Briefings

Ensure inpatient coders get an MS-DRG refresher to perfect code assignment and strengthen reimbursement.

June 19, 2019
Medicare Web

CMS may have overpaid hospitals, physicians, and freestanding facilities almost $270 million for polysomnography services that did not meet Medicare requirements over a two-year period, according to an Office of Inspector General report.

June 12, 2019
Medicare Web

On June 11, CMS published a Request for Information (RFI) as part of its Patients Over Paperwork initiative to collect public input on ways to reduce unnecessary administrative and regulatory burden.

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.

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