The 3-day payment rule is known to coders by various names such as the 72-hour rule, the 3-day payment window, or MS-DRG window policy. Kimberly Lee M.Ed., RHIA, CCS-P, describes how to navigate the rule’s nuances for billing purposes.
Over the past two decades, case management research has established recommendations for optimal caseload size. These efforts were significant, contributed to evidence-based practice, and remain relevant today.
Understanding and managing coding edits is essential to ensure correct coding. Refresh your knowledge of the different types of coding edits and how they must be addressed.
