News & Analysis

December 3, 2018
News & Insights

Q: Do we need to monitor Medicare's additional documentation requests (ADR) as part of our denials management program?

December 1, 2018
Briefings on APCs

Follow the steps a hospital should consider when submitting a redetermination request to a Recovery Auditor.

December 1, 2018
Briefings on APCs

Along with E/M changes for 2019 and beyond, the 2019 Medicare Physician Fee Schedule final rule contains a plethora of regulations impacting reimbursement, including new modifiers for therapists.

December 1, 2018
Briefings on APCs

Our experts answer questions about coding infusions for chemotherapy and documentation requirements for reporting BMI in ICD-10-CM.

December 1, 2018
Briefings on APCs

Despite facing potential lawsuits and political opposition, CMS finalized some of its most controversial proposals in the 2019 OPPS final rule by implementing several site-neutral payment policies and 340B drug payment reductions.

November 30, 2018
Case Management Monthly

As we head further into the digital age, more and more industries are implementing artificial intelligence, big data analytics, and other technologically advanced solutions to today’s business challenges. Yet to push innovation forward, sometimes all you need is a human touch.

Pages