News & Analysis

June 10, 2019
Medicare Web

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

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.

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.

April 15, 2019
Medicare Web

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

April 10, 2019
Medicare Web

Representatives from CMS and the Office of Inspector General (OIG) discussed hot topics and focus areas at HCCA's 2019 Compliance Institute in Boston, including developing interactive documentation checklists, potential changes to Stark Law this year, and methods to address the high rate of coding and documentation errors on inpatient rehabilitiation facility (IRF) claims.

April 1, 2019
Medicare Web

Q: What are the recommended elements of a Medicare appeals program?

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