News & Analysis

November 16, 2017
Medicare Insider

This week’s note is the third in a series of articles examining coding, billing, and payment rules for rural health clinics.

November 15, 2017
News & Insights

The acute kidney injury (AKI) dialysis payment rate is $232.37 for CY 2018, as updated by CMS in the 2018 End-Stage Renal Disease Prospective Payment System (ESRD PPS)

November 15, 2017
HIM Briefings

Currently, there are no national guidelines for how facilities should assign evaluation and management (E/M) levels in the emergency department (ED). Under Medicare’s ambulatory payment classification (APC) system, facilities create their own internal guidelines for determining the ED visit level, and each facility must follow its own system to demonstrate compliance.

November 15, 2017
Medicare Insider

This week’s Medicare updates include new hospital appeals settlement options, revisions involving the addition and deletion of ICD-10-CM codes from certain NCDs, details on the partial settlement of a 2-Midnight policy court case, and more! 

November 13, 2017
News & Insights

How should facilities approach claim edits that must be made across departments, such as imaging and surgery?

November 13, 2017
Briefings on HIPAA

Too often, organizations fall for common HIPAA myths and erroneously incorporate them into otherwise sound, good-faith compliance efforts. That can lead to wasted time and resources, duplicative work, or even outright noncompliance.

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