News & Analysis

February 1, 2019
Briefings on APCs

Modifier -JW is used to describe drug amounts that are discarded and not administered to any patient. This does not reduce the payment for the drugs, so this is an informational modifier, but it is a mandatory modifier.

January 23, 2019
Medicare Web

The Office of Inspector General (OIG) will be taking a closer look at payments for inpatient claims subject to CMS’ post-acute transfer policy, according to a recent update to the OIG work plan.

January 2, 2019
Medicare Web

Revenue integrity auditors can monitor multiple priorities more efficiently with data analytics and decision support systems.

December 1, 2018
Briefings on APCs

Follow the steps a hospital should consider when submitting a redetermination request to a Recovery Auditor.

October 17, 2018
HIM Briefings

Follow in the footsteps of leading organizations and get the most out of your denial programs with these four steps.

October 8, 2018
Medicare Web

Q: We're seeing an increase in the volume of medical record requests from external auditors. How can we ensure that the information in the records is accurate, timely, and available to meet auditors' demands?