News & Analysis

June 1, 2022
Briefings on APCs

Modifier -JW is used to describe drug amounts that are discarded and not administered to any patient. Refresh your knowledge of this modifier with coding tips and example scenarios.

June 1, 2022
HIM Briefings

Hospitals have made avoiding and managing denials a top priority, but for many their best efforts have yet to turn the tide.

June 1, 2022
Briefings on APCs

Coding managers should not assume that they can review every coding guideline, Coding Clinic, or coding-related issue targeted by the Office of Inspector General. Review considerations for conducting focused internal and external audits.

May 25, 2022
HIM Briefings

Clinical validation denials can be complex and difficult to appeal. Improve your process by using these tips to craft a clinical validation appeal.

May 11, 2022
Case Management Monthly

Tiffany Ferguson, LMSW, ACM, and Marie Stinebuck, MBA, MSN, ACM, CEO and COO at Phoenix Medical Management Inc., discuss why the best strategy to prevent denials related to medical necessity is a proactive approach that focuses on front-end processes.

May 1, 2022
Briefings on APCs

Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, unpacks local and national medical necessity standards and best practices for avoiding denials due to inadequate documentation.

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