News & Analysis

April 1, 2022
Briefings on APCs

Our experts answer questions about prior authorization for spinal surgeries, billing for unused cellular-based tissue products, and more.

April 1, 2022
Briefings on APCs

Anxiety disorders are the most common mental illness in the U.S., according to the National Institute of Mental Health Statistics. Shelley Safian, PhD, RHIA, CCS-P, COC, CIC, breaks down ICD-10-CM coding for common types of anxiety disorders and psychotherapy treatments used to manage them.

April 1, 2022
Briefings on APCs

Facilities can limit their exposure to claim denials and external reviews by implementing a robust internal coding compliance program. This article breaks down components of a coding policy and compliance plan and approaches to monitoring coding quality.

March 30, 2022
Medicare Insider

This week’s Medicare updates include the April update for the OPPS, the April update for the Ambulatory Surgical Center Payment System, a revision to the Program Integrity Manual to clarify information regarding provider enrollment, and more!

March 30, 2022
HIM Briefings

Although there are basic expectations of a utilization review (UR) team member, organizations should develop performance expectations and competencies for their UR staff based on their own needs. Use this sample UR specialist job description as a template for your organization.

March 30, 2022
Case Management Monthly

Janet, a medical case manager, immediately recognizes her patient Donna the moment she enters the hospital room.

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