News & Analysis

August 16, 2023
Case Management Monthly

Every facility wants to prevent denials. But in this short-staffed era, it can be difficult to consistently ensure that claims are accurate. 

August 2, 2023
Briefings on APCs

CMS’ 2024 OPPS proposed rule, released in July, details major changes to price transparency requirements and proposes numerous changes to behavioral health reimbursement, coverage of dental services, and more.

June 28, 2023
Case Management Monthly

Debra, a case manager, helps a patient who has undergone plastic surgery six times in the past six years.

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!

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