As CDI continues to move toward a quality-driven focus, programs must shift to adapt to new needs. Learn how to seamlessly integrate quality reviews into CDI processes and use the results to improve outcomes and documentation.
Release of information (ROI) services require specific devices, tools, and other supplies to process and produce records as requested. Ensure your ROI staff have what they need to keep up with all requests.
Uncommon MS-DRGs can be a red flag to auditors even when the encounter is correctly assigned to one. Use these tips to ensure coding and documentation supports the use of these MS-DRGs.
Clinical validity denials occur when there is a lack of clinical evidence in the patient chart to support a billed diagnosis. Learn more about common reasons for these denials and how to defend against them.
The 2023 Medicare Physician Fee Schedule ushered in a slew of changes to payment rates, coding guidelines, and telehealth coverage. Review key changes to ensure your organization is in compliance.
With reimbursement gains whittled down by CMS' attempt to remedy unlawful cuts to 340B drug payments, complying with updated Outpatient Prospective Payment System (OPPS) policies is key to protecting reimbursement. Take a closer look at CMS' latest policies and ensure your organization is in compliance.
Vaccine administration is a routine part of healthcare services, so it's important to know how to correctly code for them. Brush up on coding guidance for vaccines to ensure you're up to speed on the latest rules.
