News & Analysis

September 20, 2023
HIM Briefings

Hospitals could be in for a price transparency compliance shake-up if CMS moves forward with its proposals in the 2024 Outpatient Prospective Payment System (OPPS) proposed rule. Learn how these proposals could affect your organization.

September 13, 2023
HIM Briefings

Although CMS is projecting higher overall inpatient hospital payments in the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule, some facilities could be facing tighter margins and lower payments for certain services. Learn what you need to do to ensure your organization is in compliance with new requirements.

September 6, 2023
HIM Briefings

Accurate revenue code selection affects concerns central to the operations of healthcare provider organizations such as compliance and reimbursement. Apply this expert advice to ensure revenue codes are correctly assigned.

August 30, 2023
HIM Briefings

Medical necessity is a term used to describe the need and justification for services a patient will receive, including diagnostic studies or therapeutic treatment. Understand how Medicare defines the term and what requirements must be met.

August 23, 2023
HIM Briefings

The CDI educator role is dynamic, evolving to fit the ever-changing landscape of coding and CDI. Consider these tips to help ensure your CDI educators are meeting current needs.

August 16, 2023
HIM Briefings

Complete and accurate reporting under the Hospital Inpatient Quality Reporting Program can result in increased reimbursement. Learn how to use coding and CDI teams to improve the collection of correct data under this program.