News & Analysis

March 3, 2021
News & Insights

CMS is reminding organizations of Medicare Secondary Payer (MSP) billing and appeal processes after the agency inappropriately denied some claims.

March 3, 2021
News & Insights

Q: As of May 1, UnitedHealthcare, the largest health insurance company in the United States, will be switching from using Milliman Care Guidelines (MCG) to InterQual. How will this affect organizations, and what can they do to smooth the transition?

March 1, 2021
News & Insights

Q: What are the recommended primary focus areas when auditing the chargemaster and charges?

March 1, 2021
Briefings on APCs

Though the adoption of outpatient CDI has been growing steadily over the years, it’s not always easy to prove the return on investment for such efforts.

March 1, 2021
Case Management Monthly

As of May 1, UnitedHealthcare, the largest health insurance company in the United States, will be switching from using Milliman Care Guidelines (MCG) to InterQual.

March 1, 2021
Briefings on APCs

Our coding experts answer questions about CPT documentation and coding for psychotherapy services, ICD-10-CM reporting for knee injuries, conducting chargemaster audits, and more.  

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