News & Analysis

April 1, 2022
Briefings on APCs

Our experts answer questions about prior authorization for spinal surgeries, billing for unused cellular-based tissue products, and more.

March 30, 2022
Case Management Monthly

Janet, a medical case manager, immediately recognizes her patient Donna the moment she enters the hospital room.

March 30, 2022
Medicare Insider

This week’s Medicare updates include the April update for the OPPS, the April update for the Ambulatory Surgical Center Payment System, a revision to the Program Integrity Manual to clarify information regarding provider enrollment, and more!

March 30, 2022
HIM Briefings

Although there are basic expectations of a utilization review (UR) team member, organizations should develop performance expectations and competencies for their UR staff based on their own needs. Use this sample UR specialist job description as a template for your organization.

March 23, 2022
HIM Briefings

ICD-10-CM codes for traumatic fractures specify the type of bone injury, affected area of the body, and in some cases, the degree of soft tissue damage. Refresh your knowledge of terminology and documentation requirements to ensure accurate coding.

March 23, 2022
Medicare Insider

This week’s Medicare updates include new additions to the OIG Work Plan, an advisory opinion on subsidizing items in a clinical trial, an OIG data brief on telehealth use, and more!

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