News & Analysis

March 28, 2018
News & Insights

CMS instructed Medicare Administrative Contractors (MAC) to review previously denied 2018 outpatient therapy claims reported with modifier -KX. However, because MACs might not automatically review all denied therapy claims, providers will need to initiate the process.

March 28, 2018
News & Insights

What guidelines should be followed when delivering the follow-up Important Message from Medicare?

March 28, 2018
HIM Briefings

Many hospitals find that their Patient Safety Indicator (PSI) ratios remain high despite doing a spectacular job of addressing these events and exclusions. That may be because they fail to realize that the Agency for Healthcare Research and Quality has a risk-adjustment methodology that predicts each of these PSIs and is dependent upon the documentation and coding of PSI-sensitive risk factors.

March 27, 2018
News & Insights

The pediatric population is at high risk for medication errors in the emergency department, with medication error rates three times higher in pediatric patients than in adult patients, according to a study in Annals of Emergency Medicine.

March 26, 2018
Briefings on HIPAA

This month's HIPAA Q&A answers readers' questions about Notice of Privacy Practices, psychiatric notes, and disposing of PHI.

March 26, 2018
News & Insights

What are some guidelines for resolving procedure-to-procedure edits?

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