News & Analysis

February 25, 2019
Medicare Web

Q: Can we correct and resubmit a claim denied before payment as we do claims that are sent back with a pre-payment rejection?

February 18, 2019
Medicare Web

Q: How do we determine financial responsibility for denied managed care services?

February 4, 2019
Medicare Web

Q: What type of claims edit data should we capturing and reviewing as part of denials management?

February 1, 2019
Briefings on APCs

In 2018, most organizations held the line on coder productivity, according to the results of sister publication HIM Briefings’ 2018 coding productivity survey.

February 1, 2019
Briefings on APCs

Pay close attention to new CPT documentation and coding guidance for reporting radiological imaging. For example, a new paragraph titled “Imaging Guidance” in both the surgery and medicine guidelines advises that even when imaging guidance or supervision are included in a surgical procedure code, you must still follow the radiology documentation requirements in the CPT manual.

December 3, 2018
Medicare Web

Q: Do we need to monitor Medicare's additional documentation requests (ADR) as part of our denials management program?

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