News & Analysis

August 14, 2019
News & Insights

Q: What are some examples of programs that address social determinants of health (SDoH) in an Accountable Care Organization (ACO) setting?

August 12, 2019
News & Insights

Q: What is the difference between a Medicare claim appeal (redeterminiation) versus reopening of a claim?

August 9, 2019
News & Insights

 Q: A diabetic patient is diagnosed with a gangrenous decubitus ulcer of the left heel and admitted to the hospital for treatment. If the provider documents an association between diabetes and the decubitus ulcer, which condition should be sequenced as the principal diagnosis?

August 2, 2019
News & Insights

Q: Suppose a patient comes in for psychological testing evaluation. The provider interprets the test results and patient data, prepares a report, and begins treatment planning. If the interactive feedback session is held several days later, how would this be reported using CPT codes?

August 1, 2019
Briefings on APCs

Our experts answer questions about coding for multiple gestations, criteria for reopening a Medicare claim, and more.  

July 29, 2019
News & Insights

Q: For an inpatient-only procedure, can the inpatient order be obtained the day after surgery, and if so, we are still allowed to bill as inpatient for the entire stay?

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