News & Analysis

October 1, 2017
Briefings on APCs

Our experts answer questions about acceptable documentation for HCCs, choosing the appropriate revenue code, and more. 

October 1, 2017
Briefings on APCs

Root cause analysis of edits and an understanding of the relationship between the chargemaster and HIM/coding must be supported by overarching principles and best practices for edit management. Processes should be built around the timing of edits, applying edits across payers, and denial management.

September 20, 2017
Medicare Web

A majority (57%) of healthcare payers and providers believe predictive analytics will save their organizations 15% or more over the next five years, according to a 2017 Predictive Analytics in Healthcare Trend Forecast by the Society of Actuaries. Despite the potential for savings, there are several roadblocks in the way.

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CMS rescinded Transmittal SE1607 August 18, which was related to its enforcement of the 20 hours per week billing requirement for its partial hospitalization program. 

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