The 2021 Inpatient Prospective Payment System (IPPS) final rule ushered in a host of coding changes. Review new codes, MS-DRG updates, and other changes to ensure your organization is in compliance.
The HIM department plays a critical role in the revenue cycle, but it’s often placed in a reactive position, limiting its effectiveness. Learn how to improve operations by enhancing the HIM department’s involvement across the revenue cycle.
The discovery of an overpayment raises serious questions about compliance requirements. Understand your organization’s reporting obligation and appropriate methods for determining overpayments.
Ischemic strokes are complex and all too frequent. Review clinical criteria and ICD-10-CM reporting regularly for this diagnosis to ensure accurate coding and reimbursement.
HIM professionals will need to look at the big picture to chart a path forward. Learn how respondents to the 2020 HIM Roles and Responsibilities Survey have been affected and how your department compares.
Universal Health Services (UHS), one of the nation’s largest hospital management companies, on September 27 suffered a cyberattack that resulted in the company disconnecting all systems and temporarily shutting down its network.
When an organization discovers a hacker infiltrating the network, the natural response is to act quickly and shut down everything.
Of course, it’s important to show urgency in a response, but urgency without a well-constructed, well-rehearsed plan won’t do an organization any good. In fact, it may even exacerbate the issue.
Drafting an effective appeal in response to payer audits and overpayment demands goes beyond just coding and billing; it also often requires a deeper analysis and technical response. Discover methods to improve your appeals strategy with an eye on facts and compliance.
