News & Analysis

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 10, 2019
News & Insights

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.

March 11, 2019
News & Insights

Q: What's the process for a fourth level Medicare appeal?

February 27, 2019
News & Insights

Community Hospital in Munster, Indiana, is disputing an Office of Inspector General (OIG) report that found DRG assignment errors and incorrect inpatient rehabilitation facility (IRF) claims, resulting in an projected $22,051,602 in overpayments.

February 25, 2019
News & Insights

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
News & Insights

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

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