News & Analysis

September 20, 2023
Briefings on APCs

When writing appeals for healthcare denials, being proactive and thorough can significantly improve the chances of overturning the denials.

September 6, 2023
Briefings on APCs

Cardiopulmonary resuscitation (CPR) is a lifesaving treatment used when the heart or lungs cease to function. Whether CPR is conducted alone or with other services, Nancy Reading, RN, CPC, CPC-P, covers the various ways that CPR can be reported and how to do so.

August 16, 2023
Case Management Monthly

Every facility wants to prevent denials. But in this short-staffed era, it can be difficult to consistently ensure that claims are accurate. 

August 2, 2023
Briefings on APCs

CMS’ 2024 OPPS proposed rule, released in July, details major changes to price transparency requirements and proposes numerous changes to behavioral health reimbursement, coverage of dental services, and more.

June 28, 2023
Case Management Monthly

Debra, a case manager, helps a patient who has undergone plastic surgery six times in the past six years.

June 14, 2023
Case Management Monthly

Surveyors don’t always get it right. Learn how to contest deficiencies and get them reversed.