Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, unpacks local and national medical necessity standards and best practices for avoiding denials due to inadequate documentation.
Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, describes the difference between an implant and a foreign body removal and outlines CPT coding for these procedures.
In 2023, the next step in healthcare reform is projected to emerge with the ACO REACH Model’s introduction. This ACO version builds on previous achievements, in conjunction with a progression and enhancement of earlier efforts.
As hospitals face mounting challenges, preventing and managing denials is more important than ever. Learn how to use data from electronic remittances to conduct root cause analysis and stay ahead of potential future denials.
