Discover why HIM professionals should treat the Office of Inspector General's (OIG) Medicare Advantage (MA) compliance program guidance as an operational checklist.
CMS recently published the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) proposed rule, detailing its tentative plans to update Medicare inpatient coding and billing.
Train your staff on the first batch of medically unlikely edits for CPT codes that went into effect January 1, 2026, along with new edits that just went into effect on April 1.
The phrase “don’t reinvent the wheel” applies well to the development of an outpatient CDI program when a mature inpatient CDI foundation already exists. The challenge is not whether the wheel can be reused, but how to navigate the differences.
