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.
Determining which denials could be overturned on appeal is key to a successful denial management program. Learn how to leverage your appeal team's knowledge to create a data-driven scoring system.
Finding the right applicant to fill a vacancy in the coding department can be challenging. Organizations can help close the gap and improve their coding staff by implementing an apprentice program. Use this sample education schedule to help develop a program at your organization.
Take a closer look at recent Coding Clinic information on coding COVID-19, including ICD-10-CM coding for COVID-19 antibody testing, virus signs and symptoms, and comorbidities.
