News & Analysis

Q&A: Applying HIPAA to cloud service providers outside of the U.S.

July 18, 2019
Medicare Web

Q: Does HIPAA apply to cloud service providers outside of the U.S.?

Q&A: Conducting a retrospective charge segregation review

July 15, 2019
Medicare Web

Q: What are the pros and cons of conducting a 100% retrospective charge segregation review for clinical trial claims?

Q&A: ICD-10-CM coding for acute cellulitis in a patient with Type 2 diabetes

July 12, 2019
Medicare Web

Q: What is the appropriate ICD-10-CM code assignment for acute cellulitis in a patient with Type 2 diabetes?

Q&A: Criteria for reopening a Medicare claim

July 8, 2019
Medicare Web

Q: What are Medicare's criteria for reopening a claim as opposed to treating it as a denial?

This month's coding Q&A

July 1, 2019
Briefings on APCs

Our experts answer questions about billing for pre-admission testing, categorizing types of denials, and more.

Q&A: Determining UR reporting structure

July 1, 2019
Medicare Web

Q: Our utilization review (UR) committee originally took a more strictly peer review role but over time its scope and responsibilities have broadened. We're not sure that it still makes sense for the UR committee to be categorized as a subcommittee of the medical staff. What is the current recommended reporting structure for a UR committee?

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