The ICD-10-CM Official Guidelines for Coding and Reporting provide a roadmap for accurate diagnosis coding. Kimberly Lee, M.Ed., RHIA, CCS-P, unpacks fundamental ICD-10-CM coding concepts.
The 2023 Inpatient Prospective Payment System (IPPS) final rule includes a welcome payment rate increase, coding updates, and adjustments to quality and reporting programs. Review the major provisions of the rule to ensure your organization is in compliance.
While in the early stages of developing a nationwide directory of providers and services, CMS has already shown a commitment to information transparency. The agency published ownership data for all Medicare-certified nursing homes in September, making it easier to hold owners of multiple facilities—including private equity firms—accountable.
The variety of sources for commercial insurance requirements can present challenges to the utilization review (UR) specialist, as UR rules for every patient could differ depending on his or her insurance and that insurer’s policies. Apply these lessons to help UR manage commercial insurance requirements.
Directors are searching for solutions to the healthcare staffing shortage. Could one of them involve changing your leadership style to boost outcome achievement?
This week’s Medicare updates include new items added to the OIG Work Plan, an extension for certain payment rate adjustments for low volume and Medicare dependent hospitals, and more!
