News & Analysis

August 12, 2019
Medicare Web

Q: What is the difference between a Medicare claim appeal (redeterminiation) versus reopening of a claim?

August 9, 2019
Medicare Web

While there are many conferences that touch upon aspects of revenue integrity, RIS is the only one entirely dedicated to the topic. Plus, it is a great way to meet other professionals in the field of revenue integrity who are facing similar challenges and have similar interests.

August 9, 2019
Medicare Web

 Q: A diabetic patient is diagnosed with a gangrenous decubitus ulcer of the left heel and admitted to the hospital for treatment. If the provider documents an association between diabetes and the decubitus ulcer, which condition should be sequenced as the principal diagnosis?

August 9, 2019
Medicare Web

A Kentucky community health center paid hackers $70,000 in bitcoin to regain access to its computer systems after suffering its second ransomware attack in three months. 

August 8, 2019
Medicare Insider

This week's note from the instructor examines some of the key proposed policies from the Outpatient Prospective Payment System proposed rule, including policies on general supervision, site neutrality, 340B payments, and price transparency. 

August 7, 2019
Medicare Web

CMS is proposing several revisions to its clinical diagnostic laboratory date of service (DOS) policy in the FY 2020 OPPS proposed rule, including requiring ordering physicians to determine whether tests are intended to guide treatment during a current or future outpatient encounter.

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