News & Analysis

April 6, 2022
Medicare Insider

This week’s Medicare updates include the 2023 Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) proposed rule, the 2023 Inpatient Rehabilitation Facility PPS proposed rule, the 2023 Hospice Payment Rate Update proposed rule, and more! 

April 6, 2022
Case Management Monthly

The GPDC Model is getting a new name and a new purpose. It’s being renamed the ACO REACH Model. It also has a new focus of improving care for Medicare participants through better coordination.

April 1, 2022
Briefings on APCs

Anxiety disorders are the most common mental illness in the U.S., according to the National Institute of Mental Health Statistics. Shelley Safian, PhD, RHIA, CCS-P, COC, CIC, breaks down ICD-10-CM coding for common types of anxiety disorders and psychotherapy treatments used to manage them.

April 1, 2022
Briefings on APCs

Our experts answer questions about prior authorization for spinal surgeries, billing for unused cellular-based tissue products, and more.

April 1, 2022
Briefings on APCs

Certain provider services such as acupuncture and cosmetic surgery are not reimbursed by Medicare. This article describes when and how to apply HCPCS modifiers for non-covered services.

April 1, 2022
Briefings on APCs

Facilities can limit their exposure to claim denials and external reviews by implementing a robust internal coding compliance program. This article breaks down components of a coding policy and compliance plan and approaches to monitoring coding quality.

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