News & Analysis

June 28, 2023
Case Management Monthly

CMS introduced the inpatient-only list in 2001 to ensure patients who undergo complex, high-risk surgical procedures receive postoperative monitoring services in an inpatient setting.

June 21, 2023
Medicare Insider

This week’s Medicare updates include a report on national health expenditure projections, additions to the OIG’s Work Plan, tools for lowering prescription drug costs for low-income seniors and people with disabilities, and more!

June 21, 2023
Briefings on APCs

Encephalopathy refers to any disease of the brain that alters its function or structure. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBG, breaks down documentation requirements and ICD-10-CM coding for toxic, acute, and chronic encephalopathy.

June 21, 2023
Case Management Monthly

Review these tips for setting up an internal preauthorization process at your facility to save time and money.

June 14, 2023
Briefings on APCs

Rose T. Dunn, MBA, RHIA, CPA/CGMA, FACHE, FHFMA, CHPS, describes how coding reviews provide an opportunity to conduct a thorough compliance review that not only addresses components of the coding process, but also the integrity of the patient’s record.

June 14, 2023
Case Management Monthly

Surveyors don’t always get it right. Learn how to contest deficiencies and get them reversed.

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