News & Analysis

January 1, 2018
Briefings on APCs

Review the stories and topics Briefings on APCs covered in 2017, including Q&As and OPPS Advisor columns. 

January 1, 2018
Briefings on APCs

Our experts answer questions about open-ended queries, how many claims should result in queries, and more. 

December 29, 2017
Case Management Monthly

Jamie, a novice case manager with only three months of experience, just could not understand the concept of “seamless” as it applied to case management. She had attended her case management orientation with full attention and commitment, but she still couldn’t grasp the concept.

December 29, 2017
Case Management Monthly

Northern Arizona Healthcare in Flagstaff uses case management extenders to manage costs associated with its population health program. We thought it was worth a closer look at how these positions work and what these professionals can do within their organization. 

December 27, 2017
HIM Briefings

Coding experts take a look at changes to ICD-10-PCS, including guideline updates, the addition of “other devices” characters, and new tables added for root operation Replacement.

December 27, 2017
HIM Briefings

Three major types of payer record reviews are conducted every year: The Healthcare Effectiveness Data and Information Set (HEDIS), Medicare Risk Adjustment, and Commercial Risk Adjustment. As the volume of payer and health plan reviews continues to climb, millions of patient records are requested.

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