News & Analysis

March 1, 2021
Case Management Monthly

As of May 1, UnitedHealthcare, the largest health insurance company in the United States, will be switching from using Milliman Care Guidelines (MCG) to InterQual.

March 1, 2021
Briefings on APCs

Our coding experts answer questions about CPT documentation and coding for psychotherapy services, ICD-10-CM reporting for knee injuries, conducting chargemaster audits, and more.  

March 1, 2021
Briefings on APCs

Though the adoption of outpatient CDI has been growing steadily over the years, it’s not always easy to prove the return on investment for such efforts.

March 1, 2021
Briefings on APCs

Arthroscopic surgical procedures involve the insertion of a small scope into the interior of a joint, allowing the physician to view the joint without making a large incision through the skin. Review CPT coding for arthroscopic procedures of the hip and knee joints.

March 1, 2021
Briefings on HIPAA

In the weeks leading up to his departure from office, former President Donald Trump signed H.R. 7898 into law, amending the HITECH Act to require the Health and Human Services secretary to consider certain recognized security practices of covered entities (CE) and business associates (BA) when taking enforcement actions.

February 26, 2021
Case Management Monthly

Ellen, a case manager, works more than 40 hours every week on-site at her hospital. This has been her schedule since the novel coronavirus (COVID-19) pandemic restrictions were put in place. She is a single mother and decides, despite the virus risk, to work as many hours as possible.

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