News & Analysis

July 1, 2017
Briefings on APCs

Our experts answer questions about MUEs on HCPCS codes, appealing claims for noncovered procedures, and more. 

June 30, 2017
Case Management Monthly

Mary, a medical case manager, was comforting Susan, the daughter of one of her patients, who was distressed because her mother was hospitalized with a broken hip. Susan, an only child, was the primary caregiver for both her parents. After visiting her mother in the hospital, Susan would run home to provide evening care for her father, who had a home-care technician during the day.

June 29, 2017
Medicare Insider

This week's note offers guidance on CPT E/M codes for new versus established patients and addresses OIG reports on E/M codes audits.

June 28, 2017
Medicare Insider

This week's Medicare updates include a Quality Payment Program proposed rule; new guidance for formatting plans of correction; clarification regarding Conditions for Coverage for End Stage Renal Disease facilities; and more!

June 28, 2017
HIM Briefings

In ICD-10-CM, defining, diagnosing, and documenting the various forms of altered mental status and their underlying causes remains an ongoing challenge for physicians and their facilities.

June 28, 2017
HIM Briefings

Technology has transformed HIM. Today, challenges in the HIM department include EHRs, alphanumerical codes, quality metrics, and technology devices like scanners.

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