With reimbursement gains whittled down by CMS' attempt to remedy unlawful cuts to 340B drug payments, complying with updated Outpatient Prospective Payment System (OPPS) policies is key to protecting reimbursement. Take a closer look at CMS' latest policies and ensure your organization is in compliance.
Vaccine administration is a routine part of healthcare services, so it's important to know how to correctly code for them. Brush up on coding guidance for vaccines to ensure you're up to speed on the latest rules.
Determining the principal diagnosis is a basic function of CDI review and critical to prioritizing subsequent reviews, but is often a challenging process and requires careful consideration and interpretation of regulatory guidance and collaboration with coding professionals. Use these tips to ensure your CDI and coding teams are on the same page.
When staffing the release of information (ROI) function, management must consider skill sets that complement the duties to be performed. Learn more about how to define ROI responsibilities and the skills and experience necessary to perform them.