News & Analysis

August 19, 2020
News & Insights

Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1.

August 12, 2020
HIM Briefings

Staying on top of coding guidelines for infectious diseases has never been more critical—or challenging. Review these questions on ICD-10-CM/PCS documentation and coding for infectious diseases including COVID-19, HIV, and related procedures.

August 10, 2020
News & Insights

Q: Are commercial payers allowed to conduct a pre- and post-payment review of the same claim?

August 10, 2020
Briefings on HIPAA

The novel coronavirus (COVID-19) pandemic upended the U.S. healthcare system in innumerable ways. Experts believe the new post-COVID-19 normal will not be exactly the same as it was pre-pandemic. For one, telehealth is here to stay.

August 5, 2020
HIM Briefings

Several recent changes affect hospitals’ 340B programs. Follow these eight tips to review and optimize your hospital’s 340B program.

August 4, 2020
News & Insights

Facing the unprecedented COVID-19 public health emergency, CMS released the 2021 OPPS proposed rule later than ever before, with the agency generally reinforcing its recent focus on site-neutral payment policies, lowering reimbursement for drugs purchased under the 340B program, and adding more services to the list of prior authorization. 

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