HIM Briefings

There are many things that can go awry during gestation resulting in a neonate with temporary or permanent health conditions. Physicians have found ways to treat many congenital defects in utero, enabling the neonate to be born without defects. Review coding guidelines for fetal surgeries.

Organizations must ensure their procedures are aimed at preventing and managing denials. One way to accomplish this is by looking for opportunities to involve other departments. Use these tips to improve interdepartmental denials management.

Analyzing data that comes from claim scrubber edits, return to provider edits, variances, and denials can provide insight into repetitive issues that delay the processing of a claim or lead to denials. Use these tips to improve your organization's pre-billing analysis processes.

Regular charge reconciliation is a cornerstone of complete, compliant reimbursement but is a common weak point for hospitals. Apply these tips to support clinical staff responsible for charge reconciliation and improve charge capture.

CMS recently revised the evaluation and management (E/M) coding guidelines for inpatient providers. Understand the far-reaching effects of the changes and how to ensure your organization is in compliance.

Payer audits are likely to pick up steam as the COVID-19 public health emergency expires. Experts share tips for managing audits and what types of claims payers may focus on.

Sepsis is a systemic, deleterious response to infection that can lead to severe sepsis and septic shock. Brush up on sepsis criteria and documentation and coding guidelines.

Use this sample payer charge denial letter as a template when drafting appeal letters.