News & Analysis

February 4, 2019
News & Insights

Q: What type of claims edit data should we capturing and reviewing as part of denials management?

February 1, 2019
Briefings on APCs

Our experts answer questions about reviewing claims edit data, reporting modifier -XE, and more.

February 1, 2019
News & Insights

Q: Our facility is used to reporting modifier -59 (distinct procedural service), but we're not sure when modifier -XE (separate encounter, a service that is distinct because it occurred during a separate encounter) would be appropriate instead. Could you provide an example?

January 31, 2019
News & Insights

Q: Is it a HIPAA violation if a provider refuses to allow patients to see their record?

January 30, 2019
News & Insights

Q: What is the difference between hospice care and palliative care?

January 28, 2019
News & Insights

Q: How far in advance are we required to provide an Advance Beneficiary Notice of Noncoverage (ABN)? If multiple entities are involved in ordering and providing a noncovered service such as a lab test, does each entity need to issue a separate ABN?

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