Various analyses must be conducted to maintain compliance, assist with charge capture, solve account edits, and review any possible coding trends or issues that may cause claim delays, denials, or unnecessary rework. Learn how to effectively leverage this data to improve processes and protect revenue.
Case management directors have already felt the impact of the shortage, which has reached crisis proportions at times, and they are searching for solutions. Could case manager nurse travelers be the answer?
A CDI program’s ability to expand is directly dependent on current resources or immediate budgeted resources. Apply these tips to guide your organization's outpatient and ambulatory CDI strategies.
This week’s Medicare updates include the 2023 update to the KX modifier threshold amounts, revisions to language in the Medicare Claims Processing Manual regarding instructions for billing hospital Part B inpatient services, enrollment application information for rural emergency hospitals, and more!
Maternal mortality is not the only pregnancy-related issue case managers will likely encounter. Perinatal mortality, a combined measure of fetal deaths after 20 weeks and infant deaths shortly after birth, is a profound trauma that may affect patients as well.
