News & Analysis

July 5, 2023
Case Management Monthly

CMS recently released a list of the 43 drugs and biologicals with a lower coinsurance for 2023.

July 5, 2023
HIM Briefings

Coders are now tasked with reporting social determinants of health, or circumstances in patients’ lives that can influence the quality of their life and overall wellbeing. Understand how to improve documentation of these factors and ensure complete and accurate coding.

June 28, 2023
Case Management Monthly

Debra, a case manager, helps a patient who has undergone plastic surgery six times in the past six years.

June 28, 2023
Medicare Insider

This week’s Medicare updates include guidance on the Transitional Coverage for Emerging Technologies pathway, the July 2023 versions of the OPPS Addendum A and B files, and more!

June 28, 2023
Briefings on APCs

Our experts answer questions about CPT coding for kidney stone removal and ICD-10-CM coding for pressure ulcer staging.

June 28, 2023
Case Management Monthly

CMS introduced the inpatient-only list in 2001 to ensure patients who undergo complex, high-risk surgical procedures receive postoperative monitoring services in an inpatient setting.

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