Analyze key provisions in the 2026 Inpatient Prospective Payment System (IPPS) proposed rule to understand potential updates to Medicare inpatient coding and billing.
Recent data shows that all improper payments for bacterial culture lab tests can be traced back to insufficient documentation. Review CMS' provider compliance tip to prevent denials.
Analyze recent findings on the greatest barriers and facilitators to screening, documenting, and addressing social determinants of health (SDOH) in emergency departments.
Practices upped their use of modifier 59 (Distinct procedural service) in recent years, adding nearly 1 million 59-appended claims to the most frequently reported same-day procedural codes.
As hospitals continue to struggle to comply with hospital price transparency requirements, HHS has been tasked with updating guidance and enforcement efforts.
