News & Analysis

December 3, 2018
Medicare Web

Q: Do we need to monitor Medicare's additional documentation requests (ADR) as part of our denials management program?

December 1, 2018
Briefings on APCs

Despite facing potential lawsuits and political opposition, CMS finalized some of its most controversial proposals in the 2019 OPPS final rule by implementing several site-neutral payment policies and 340B drug payment reductions.

December 1, 2018
Briefings on APCs

Follow the steps a hospital should consider when submitting a redetermination request to a Recovery Auditor.

November 19, 2018
Medicare Web

Q: What is the difference between the two types of Remittance Advice Remark Codes (RARC)?

November 14, 2018
HIM Briefings

Take a look at the appeal process from the perspective of a hospital that submitted a redetermination request after a claim for cataract surgery was reopened.

October 17, 2018
HIM Briefings

Follow in the footsteps of leading organizations and get the most out of your denial programs with these four steps.

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