News & Analysis

Q&A: Applying case management standards of practice to population health

February 6, 2019
News & Insights

Q: Do the Case Management Society of America’s standards of practice still apply when using a population health approach to case management?

Q&A: Reviewing claims edit data

February 4, 2019
News & Insights

Q: What type of claims edit data should we capturing and reviewing as part of denials management?

This month's coding Q&A

February 1, 2019
Briefings on APCs

Our experts answer questions about reviewing claims edit data, reporting modifier -XE, and more.

Q&A: When is modifier -XE appropriate to report?

February 1, 2019
News & Insights

Q: Our facility is used to reporting modifier -59 (distinct procedural service), but we're not sure when modifier -XE (separate encounter, a service that is distinct because it occurred during a separate encounter) would be appropriate instead. Could you provide an example?

Q&A: Allowing patients access to their medical records

January 31, 2019
News & Insights

Q: Is it a HIPAA violation if a provider refuses to allow patients to see their record?

Q&A: Knowing the difference between hospice and palliative care

January 30, 2019
News & Insights

Q: What is the difference between hospice care and palliative care?

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