News & Analysis

Denial strategies for medical necessity, clinical validation, and DRG downgrades

August 28, 2024
HIM Briefings

Review up-to-date prevention and management strategies for three common types of denials.

Sepsis denials on the rise

July 31, 2024
HIM Briefings

Get back to the basics of sepsis documentation to combat the increasing rate of denials.

Denial-proofing your queries

July 17, 2024
HIM Briefings

Ensure your queries are solid enough to protect your organization against denials.

Tips to bring staff up-to-speed on new diabetes screening rules

July 17, 2024
Briefings on APCs

Use these tips to train your team on the latest definitions and coding guidance for diabetes screening and related services during your next training session. 

This week in Medicare—7/3/2024

July 3, 2024
Medicare Insider

This week’s Medicare updates include the 2025 Home Health Prospective Payment System proposed rule, a list of Part B drugs with a lower coinsurance for next quarter, and more!

Director’s desk: 2025 MA final rule increases protections for patients

June 26, 2024
Case Management Monthly

Review updates in the 2025 Medicare Advantage (MA) and Part D final rule that could impact case management practices.

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