News & Analysis

December 11, 2019
HIM Briefings

Use these tips to craft targeted appeals letters for clinical and technical denials.

November 4, 2019
Medicare Web

Q: How should we handle denied claims when the payer refuses payment under the billed status? Do we need to document that the status was changed only because the payer did not agree to any other options?

October 2, 2019
HIM Briefings

Learn how your organization’s claim edit and denial management process compare across the industry.

October 1, 2019
Briefings on APCs

Managers should not assume that they can review every guideline, every item in Coding Clinic, or every coding-related issue targeted by the OIG or Recovery Auditors. However, those issues that have been identified as the result of denials, external coding audits, or quality initiatives should surface to the top of the audit list for the coding manager.

October 1, 2019
Briefings on APCs

As Medicare Advantage makes strides to becoming the new norm, organizations need to establish new processes, educate staff, and advocate for patients. Learn how your organization can keep pace with change before it’s too late to catch up.

September 18, 2019
HIM Briefings

As Medicare Advantage makes strides to becoming the new norm, organizations need to establish new processes, educate staff, and advocate for patients. Learn how your organization can keep pace with change before it’s too late to catch up.

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