News & Analysis

Q&A: Interpreting case-mix index

2020
November 2, 2020
Medicare Web

Q: How does case-mix index (CMI) impact hospital finances? What should revenue integrity staff look for when conducting CMI analyses?

CMS updates COVID-19 policies and guidance on testing, vaccination, and telehealth

2020
November 1, 2020
Briefings on APCs

Valerie A. Rinkle, MPA, CHRI, writes about Medicare guidance on and updated payment policies for COVID-19 testing, vaccines, and telehealth services.

Tackle CPT coding challenges and ICD-10-CM updates for behavioral health

2020
November 1, 2020
Briefings on APCs

Review 2021 ICD-10-CM codes for behavioral health diagnoses and a breakdown of CPT guidelines for psychiatric diagnostic evaluations.

CMS finalizes mandatory radiation oncology model

2020
October 1, 2020
Briefings on APCs

Valerie A. Rinkle, MPA, CHRI, reviews what providers need to know about the latest payment model from CMS’ Centers for Medicare and Medicaid Innovation.

Small steps reap big savings: 340B program checklist for COVID-19

2020
September 1, 2020
Briefings on APCs

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

Assess and rate a denial for the possibility of overturn

2020
August 26, 2020
HIM Briefings

Determining which denials could be overturned on appeal is key to a successful denial management program. Learn how to leverage your appeal team's knowledge to create a data-driven scoring system.

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