News & Analysis

August 1, 2019
Briefings on APCs

Even if a hospital is not a teaching hospital, it may have services that require National Clinical Trial (NCT) reporting. It is logical for revenue integrity leadership to own this issue, but an explanation of the requirements for NCT reporting should be shared with all staff within the revenue cycle so there is a better appreciation of the fact that clinical trial billing rules apply more broadly than merely just to research or clinical trial studies.

August 1, 2019
Briefings on APCs

Behavioral health is a highly specialized area of coding that many coders and billers are unfamiliar with. There are hundreds of ICD-10-CM codes for mental disorders with unique characters to specify symptoms and complications.

August 1, 2019
Case Management Monthly

Case managers have long faced challenges related to caring for patients who are affected by social determinants of health. These factors have become even more of an issue since the implementation of healthcare reform, with the introduction of accountable care organizations and other innovative projects.  

August 1, 2019
Briefings on APCs

Our experts answer questions about coding for multiple gestations, criteria for reopening a Medicare claim, and more.  

August 1, 2019
Briefings on HIPAA

HIPAA training is required by the HIPAA rules, under § 164.530, Administrative requirements. But just because it’s required doesn’t mean it has to be repetitive, boring, or unappealing. There are ways to make your healthcare staff excited about HIPAA training. At the very least, you can do your part to make sure they’re engaged.

August 1, 2019
Briefings on HIPAA

Our expert answers HIPAA questions about out-of-state patients, smartphones, and HIPAA training.

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