News & Analysis

June 25, 2018
News & Insights

How can revenue integrity professionals ensure drug units are properly represented in the charge description master?

June 20, 2018
HIM Briefings

When evaluating a code edit, it’s necessary to understand exactly when or where in the claim or billing process the edit arose. Look to coding guidance to help edit resolution efforts.

June 20, 2018
News & Insights

The Office of Inspector General (OIG) plans to address concerns regarding capitated payment models by putting preauthorization denials under review.

June 20, 2018
Medicare Insider

This week’s Medicare updates include the release of the 2019 ICD-10-CM code set, numerous updates to the OIG Work Plan, a fact sheet detailing how CMS determines qualifying APM status in the Quality Payment Program, and more! 

June 18, 2018
News & Insights

What are the distinctions between hard and soft coding?

June 13, 2018
Medicare Insider

This week’s Medicare updates include an OIG study on increases in reimbursement totals for brand-name drugs in Part D, a Special Edition MLN Matters article on hospice billing and claims processing, the July 2018 quarterly update to the Durable Medical Equipment fee schedule, and more!   

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