News & Analysis

March 1, 2022
Briefings on APCs

Under certain circumstances, a service or procedure may be partially reduced or eliminated at the discretion of the physician. Read up on the correct application of hospital modifiers -52, -73, and -74 for reduced and discontinued procedural services.

February 9, 2022
HIM Briefings

Tracking denials data as a key performance indicator (KPI) can help identify gaps in provider documentation and create meaningful physician education. Learn how to leverage coding and CDI staff in tracking and managing denials data.

December 1, 2021
HIM Briefings

The ultimate ongoing battle in healthcare is fighting denials. Learn how to deploy education and targeted CDI strategies to acheive victory.

November 17, 2021
HIM Briefings

Objective information produced by electronic data is fast becoming an essential component of value-based care and permeates every component of the healthcare ecosystem. Learn how to use electronic remittances as a source of truth for denials.

November 1, 2021
Case Management Monthly

Interventions to reduce length of stay for high-risk, medically complex, and otherwise vulnerable patients are falling short, according to a technical brief prepared for the Agency for Healthcare Research and Quality.

September 1, 2021
Case Management Monthly

CMS has reinstated the short-stay reviews and high-weighted DRG reviews originally halted in 2019. The national contract to conduct these reviews was awarded to Livanta, one of the Beneficiary & Family-Centered Care and Quality Improvement Organizations.

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