News & Analysis

May 1, 2021
Briefings on APCs

It’s always been easy to show financial return on investment for inpatient CDI endeavors, but the monetary value of outpatient programs is increasing dramatically year after year, making outpatient CDI reviews more attractive to many healthcare organizations.

May 1, 2021
Briefings on HIPAA

Chris Apgar, CISSP, answers submitted questions on a variety of HIPAA topics.

May 1, 2021
Briefings on APCs

Facility E/M coding reflects the volume and intensity of resources utilized by the facility during patient encounters. Joe Rivet, Esq., CCS-P, CPC, CEMC, CHC, CCEP, CHRC, CHPC, CICA, CPMA, CAC, CACO, describes how facilities can create internal guidelines and point systems for determining E/M level section.

May 1, 2021
Case Management Monthly

A recent survey highlighted the healthcare challenges face by low-income Americans. Read about how understanding these challenges can improve patient care at your facility.

April 30, 2021
Case Management Monthly

If your organization is not already screening short inpatient stays, now may be a good time to start, says Ronald Hirsch, MD, FACP, CHCQM, CHRI, a vice president at R1 RCM Inc. in Chicago.

April 29, 2021
News & Insights

The fiscal year (FY) 2022 Inpatient Prospective Payment System (IPPS) proposed rule makes broad efforts to cushion the ongoing impact of the COVID-19 pandemic on hospital revenue and resources. The proposed rule, released April 27, also eliminates sweeping changes to MS-DRG rate-setting finalized in the 2021 IPPS final rule.

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