News & Analysis

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.

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.

December 3, 2018
Medicare Web

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

December 1, 2018
Briefings on APCs

Despite facing potential lawsuits and political opposition, CMS finalized some of its most controversial proposals in the 2019 OPPS final rule by implementing several site-neutral payment policies and 340B drug payment reductions.

December 1, 2018
Briefings on APCs

Follow the steps a hospital should consider when submitting a redetermination request to a Recovery Auditor.

November 19, 2018
Medicare Web

Q: What is the difference between the two types of Remittance Advice Remark Codes (RARC)?

Pages