News & Analysis

January 1, 2018
Briefings on APCs

Our experts answer questions about open-ended queries, how many claims should result in queries, and more. 

January 1, 2018
Briefings on APCs

If ICD-10-CM/PCS is used to its full potential, it will provide greater detail and a more accurate depiction of patient severity. This level of detail is expected to provide more information about the relationship between a provider’s performance and the patient’s condition. 

December 29, 2017
Case Management Monthly

Northern Arizona Healthcare in Flagstaff uses case management extenders to manage costs associated with its population health program. We thought it was worth a closer look at how these positions work and what these professionals can do within their organization. 

December 29, 2017
Case Management Monthly

Jamie, a novice case manager with only three months of experience, just could not understand the concept of “seamless” as it applied to case management. She had attended her case management orientation with full attention and commitment, but she still couldn’t grasp the concept.

December 27, 2017
Medicare Insider

This week’s Medicare updates include a fact sheet on the 2018 EHR Incentive Program payment adjustment; transmittals regarding the January 2018 updates to the OPPS, ambulatory surgery center payment system, and physician fee schedule; a memo detailing three categories of sanctions for proficiency testing referrals; and more! 

December 27, 2017
HIM Briefings

CDI review teams can get bogged down and discouraged by routine. A CDI manager should be visible, positive, and combat team complancency and routine fatigue.

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