CMS is weighing an expansion of the hospital outpatient department prior authorization program, changes to 340B reimbursement, and alternative rate setting data among other proposals in the 2023 Outpatient Prospective Payment System (OPPS) proposed rule. Review other major proposals to understand how your organization could be affected.
Revenue erosion and denials are often easily prevented, but simple errors may evade traditional, reactive denials management processes. Apply these tips to reduce and prevent common denials due to medical necessity, the three-day payment window, and more.
Reconciling CDI reviews and queries against final coding is an important but sometimes overlooked step. Use these expert tips to refresh or develop your organization's CDI and coding reconciliation process.
Understanding and managing coding edits is essential to ensure correct coding. Refresh your knowledge of the different types of coding edits and how they must be addressed.
After being asked to go above and beyond during the height of the COVID-19 pandemic and managing ongoing staffing shortages, HIM professionals are getting tangible recognition in the form of higher salaries, according to respondents of HIM Briefings’ HIM Director and Manager Salary Survey. See how your salary compares to your peers.
Coding a chart with a sepsis diagnosis requires careful attention to detail. Use this tips to review sepsis documentation, ICD-10-CM coding requirements, and quality measures for public reporting.
Shrinking hospital profit margins and staffing shortages put HIM departments under strain. Learn how strategic deployment of machine learning can boost efficiency, filling staffing gaps, and help shore up revenue.
