The discovery of an overpayment raises serious questions about compliance requirements. Understand your organization’s reporting obligation and appropriate methods for determining overpayments.
Ischemic strokes are complex and all too frequent. Review clinical criteria and ICD-10-CM reporting regularly for this diagnosis to ensure accurate coding and reimbursement.
HIM professionals will need to look at the big picture to chart a path forward. Learn how respondents to the 2020 HIM Roles and Responsibilities Survey have been affected and how your department compares.
Drafting an effective appeal in response to payer audits and overpayment demands goes beyond just coding and billing; it also often requires a deeper analysis and technical response. Discover methods to improve your appeals strategy with an eye on facts and compliance.
A sound query process is essential to good documentation and correct coding. Find out how your organization’s query practices and CDI productivity compare to others.
CMS laid the groundwork for a dramatic revision of MS-DRG rate setting in the 2021 Inpatient Prospective Payment System (IPPS). The agency also rolled out code changes and MS-DRG updates. Ensure your organization is compliance with new requirements.
Strong documentation and coding support accurate data and help organizations defend against payer audits. Learn how to manage the return of CMS audits and keep documentation and coding in top shape.
A strong revenue cycle is key to staying afloat in the face of evolving challenges. Use these best practices to bolster the accounts receivable process and tap into revenue.
