News & Analysis

September 18, 2017
Medicare Web

What are some common reasons for medical necessity denials and ways we can ensure medical necessity compliance?

September 1, 2017
Briefings on APCs

Providers in some states may soon discover a big hurdle to clear when seeking to report a set of apheresis services after one MAC tightened up physician supervision requirements.

August 24, 2017
Medicare Web

CMS rescinded Transmittal SE1607 August 18, which was related to its enforcement of the 20 hours per week billing requirement for its partial hospitalization program. 

August 15, 2017
Medicare Web

HCPro announces the launch of a new professional association serving the healthcare revenue integrity community, the National Association of Healthcare Revenue Integrity (NAHRI).

July 12, 2017
HIM Briefings

The Joint Commission continues to provide excellent resources to help healthcare organizations stay ready for surveys, as well as resources that help them meet and understand the intent of standards and elements of performance.

July 1, 2017
Briefings on APCs

As CMS and third-party payers have looked for ways to treat patients in the outpatient setting and reduce inpatient volumes, CMS has used the 2-midnight rule, in addition to other methods, to treat patients as outpatients or in observation whenever possible.