News & Analysis

July 8, 2019
Medicare Web

Q: What are Medicare's criteria for reopening a claim as opposed to treating it as a denial?

July 1, 2019
Briefings on APCs

In 2013, “Guidelines for Achieving a Compliant Query Practice,” a collaboration between AHIMA and ACDIS, was published. It has served as the industry guideline for the establishment of best practices surrounding queries. The 2019 update reinforces the information set forth in the preceding practice briefs while also introducing some newer guidelines reflective of today’s healthcare environment.

June 10, 2019
Medicare Web

Q: What is the difference between a hard and a soft denial?

June 1, 2019
Briefings on APCs

Having taken on more diverse responsibilities, many providers regard medical coding as a necessary evil; their primary focus is caring for their patients. Although many physicians select codes for the work they perform, they rely on specialized coding and auditing professionals to review their documentation and reporting for accuracy.

June 1, 2019
Briefings on APCs

The NCCI manual can be a powerful tool for revenue cycle staff to understand the intricacies of CMS modifier rules and Medicare edits.

April 15, 2019
Medicare Web

Q: What are the recommended key performance indicators to include on a payer scorecard?

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