News & Analysis

March 3, 2021
News & Insights

Q: As of May 1, UnitedHealthcare, the largest health insurance company in the United States, will be switching from using Milliman Care Guidelines (MCG) to InterQual. How will this affect organizations, and what can they do to smooth the transition?

March 1, 2021
News & Insights

Q: What are the recommended primary focus areas when auditing the chargemaster and charges?

March 1, 2021
Briefings on APCs

Our coding experts answer questions about CPT documentation and coding for psychotherapy services, ICD-10-CM reporting for knee injuries, conducting chargemaster audits, and more.  

February 26, 2021
News & Insights

Q: When two conditions are both present on admission, both meet the definition to be the principal diagnosis, and are “equally treated,” my understanding is that the condition does not have to be "equally treated" in the sense of duration/frequency. Is this correct?

February 25, 2021
News & Insights

Q: Is it permissible to store paper patient records in a public storage unit? If so, do the storage units need to use specific safeguards to be HIPAA compliant?

February 24, 2021
News & Insights

Q: What are the best strategies for case managers working with patients who have dealt with past trauma?

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