News & Analysis

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.

August 12, 2019
Medicare Web

Q: What is the difference between a Medicare claim appeal (redeterminiation) versus reopening of a claim?

July 30, 2019
Medicare Web

CMS released the 2020 OPPS proposed rule July 29, proposing to refine previous policies related to price transparency and the 2-midnight rule, while also asking for comments on how to potentially undo its policy that reduced payments for drugs purchased under the 340B drug discount program by nearly 30%.

July 26, 2019
Medicare Web

Facilities need to know how to respond to documentation requests as part of any Medicare audit or review. Preparing a complete and proper reply makes all the difference in the outcome or results of those audits and reviews.

July 25, 2019
Medicare Web

Past Revenue Integrity Symposium (RIS) attendees and speakers agree: It’s a can’t-miss event for revenue integrity education and networking. The best part? Savvy revenue integrity professionals can take advantage of several ways to save on the cost of attendance, scoring premier education without breaking the budget.

July 8, 2019
Medicare Web

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