June 8, 2020
Medicare Web

Q: How can we decide what risk areas should be the focus of auditing and monitoring?

June 24, 2020
HIM Briefings

Unintentional billing errors can occur even in the most vigilant organization. A comprehensive audit program can help detect these issues. Learn how to develop different types of audits to find and address errors.

May 1, 2020
Briefings on APCs

Navigating Medicare’s rules for charging for ancillary services, bedside procedures, and supplies is no easy task. Get an expert perspective on how to apply the rules.

May 1, 2020
Briefings on APCs

Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, reviews the latest guidance and ICD-10-CM reporting for common novel coronavirus (COVID-19) scenarios such as reporting for patients who present for testing with symptoms of COVID-19.

March 1, 2020
Briefings on APCs

Like other services covered by Medicare, observation must be reasonable and necessary or, in other words, medically necessary. The physician must document that they assessed patient risk to determine that the patient would benefit from observation services.

March 4, 2020
HIM Briefings

In today’s continually changing healthcare environment, increasing demands to share patient information create complex challenges. Learn how to optimize staffing and technology to ensure efficient and compliant release of information (ROI).

March 4, 2020
Medicare Web

The Office of Inspector General (OIG) will be taking a closer look at how health risk assessments influence Medicare Advantage risk scores and risk-adjusted payments, according to its recently updated Work Plan.

February 18, 2020
Medicare Web

A recent audit conducted by the Office of Inspector General (OIG) found that the majority of healthcare providers reviewed used Medicare Part D eligibility information for potentially inappropriate purposes.

January 1, 2020
Briefings on APCs

One of the most vexing challenges that CDI specialists have is how to engage physicians to completely and precisely document their patients’ conditions and treatments in the language required by ICD-10-CM, which is essential to risk adjustment.

December 4, 2019
Medicare Web

Carolinas Hospital in Florence, South Carolina, received $431,757 in Medicare overpayments for incorrectly billed inpatient and outpatient services, according to an Office of Inspector General (OIG) audit report released November 26. Based on the sample, the OIG estimates the hospital may have received at least $3.4 million in overpayments.

Pages