News & Analysis

November 4, 2019
News & Insights

Q: How should we handle denied claims when the payer refuses payment under the billed status? Do we need to document that the status was changed only because the payer did not agree to any other options?

November 4, 2019
News & Insights

CMS is moving forward with multiple policies—effectively based on reducing reimbursement to hospitals—that have been deemed unlawful in court, according to the 2020 OPPS final rule, released Friday, November 1. However, the agency pushed its controversial price transparency proposals to a separate, yet-to-be released final rule.

November 1, 2019
Briefings on HIPAA

Our expert answers questions about patient diagnosis codes, same-sex partners, and privacy screens.

November 1, 2019
Case Management Monthly

The 2020 IPPS final rule is out, and CMS has opted not to allow organizations to code homelessness as a complication or comorbidity (CC) under ICD-10-CM code Z59.0.

November 1, 2019
Briefings on HIPAA

Working remotely has many benefits for employers and employees. A Stanford study found that working from home boosts employee productivity, which was attributed to taking fewer breaks and sick days and working in quieter, more convenient work environments.

November 1, 2019
News & Insights

Q: How do we bill for items provided to a patient participating in a clinical trial that are not listed on the billing intention?

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