News & Analysis

February 22, 2023
Case Management Monthly

Due to an evolving regulatory landscape and other factors, case managers are reevaluating approaches to appealing denials.

February 22, 2023
Medicare Insider

This week’s Medicare updates include details on billing for insulin ahead of the new coinsurance cap, updates to the OIG work plan, information on new drug pricing models, and more!

February 15, 2023
Briefings on APCs

Alysia Minott, CIRCC, CCS, CDIP, explains that CPT coding for complex procedures performed using interventional radiology (IR) can be mastered; the first step is learning how to interpret applicable coding guidelines.

February 15, 2023
Briefings on HIPAA

Rebecca Herold, CDPSE, FIP, CISSP, CIPM, CIPP/US, CIPT, CISM, CISA, FLMI, answers submitted questions on a variety of HIPAA topics.

February 15, 2023
HIM Briefings

Uncommon MS-DRGs can be a red flag to auditors even when the encounter is correctly assigned to one. Use these tips to ensure coding and documentation supports the use of these MS-DRGs.

February 15, 2023
Medicare Insider

This week's Medicare updates include changes to the manual to add in clarification about payment for vaccines at critical access hospitals, updates to the manual pertaining to billing changes from CY 2020 and CY 2021 final rules, and more!

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