News & Analysis

June 14, 2023
Case Management Monthly

Surveyors don’t always get it right. Learn how to contest deficiencies and get them reversed.

June 7, 2023
HIM Briefings

Organizations must ensure their procedures are aimed at preventing and managing denials. One way to accomplish this is by looking for opportunities to involve other departments. Use these tips to improve interdepartmental denials management.

June 7, 2023
Medicare Insider

This week’s Medicare updates include a final rule on COVID-19 vaccination requirements for healthcare staff, guidance on modifier -JZ, coverage guidelines for Alzheimer’s drugs, and more!

May 10, 2023
Briefings on APCs

Healthcare providers know that denials are not a matter of if, but when. One way to prevent and manage denials is by looking for opportunities to involve other departments.

February 22, 2023
Case Management Monthly

Due to an evolving regulatory landscape and other factors, case managers are reevaluating approaches to appealing denials.

February 8, 2023
Briefings on APCs

CMS developed the National Correct Coding Initiative (NCCI) to control improper coding and potentially inappropriate payment of Part B services. Review NCCI basics to ensure compliance with the latest coding policies.

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