News & Analysis

October 1, 2015
Case Management Monthly

After years of wavering and waffling, ICD-10 was finally set to become a reality on the first of October. The extent to which this new set of codes for medical diagnoses and inpatient hospital procedures will affect you depends largely on how your role is structured, says Stefani Daniels, RN, MSNA, CMAC, ACM, founder and managing partner of Phoenix Medical Management, Inc., in Pompano Beach, Florida.

October 1, 2015
HIM Briefings

Developing a strong denial management program may be one of the best ways to minimize the productivity and financial losses anticipated with the transition to ICD-10. By determining a baseline for denials and proactively identifying denial trends, organizations can efficiently resolve issues and reduce costs. An effective denial management program will help organizations to track, trend, resolve, and ultimately prevent denials.

October 1, 2015
Briefings on APCs

Because CMS has not created any national ED E/M guidelines, providers must create their own criteria for each visit level.

October 1, 2015
Briefings on APCs

When a patient suffers a traumatic injury or poisoning, we need to report how they became injured and where they were when it happened. You already know this from ICD-9-CM.

October 1, 2015
Briefings on APCs

Use this 10-question quiz to determine how well you understand common medical prefixes and suffixes.

October 1, 2015
Briefings on APCs

Heart disease is the most common cause of death for both men and women in the U.S., according to the Centers for Disease Control and Prevention (CDC). The most common type is coronary artery disease (CAD), which can lead to heart attacks, heart failure, angina, and arrhythmias, according to the CDC. 

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