News & Analysis

February 27, 2019
HIM Briefings

Get to the root of the problem with defining and defending a sepsis diagnosis.

February 27, 2019
News & Insights

Community Hospital in Munster, Indiana, is disputing an Office of Inspector General (OIG) report that found DRG assignment errors and incorrect inpatient rehabilitation facility (IRF) claims, resulting in an projected $22,051,602 in overpayments.

February 27, 2019
News & Insights

Q: Can you explain the difference between patient capacity and patient competence and explain what role a case manager has in determining them?  

February 27, 2019
Medicare Insider

This week’s Medicare updates include an OIG review of skilled nursing facility services and the three-day inpatient hospital stay requirement; the release of the 2019 hospital OPPS two times run document; a transmittal about new HCPCS codes subject to and excluded from CLIA edits; and more!

February 26, 2019
News & Insights

The American Hospital Association (AHA) has launched its 2019 Innovation Challenge, which focusses this year on using technology to address the social determinants of health and connect people with resources to address community health needs.

February 25, 2019
News & Insights

Q: Can we correct and resubmit a claim denied before payment as we do claims that are sent back with a pre-payment rejection?

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