October 23, 2019
News & Insights

A federal judge rejected CMS’ motion to reconsider or issue a stay on her September order to vacate cuts to reimbursement to grandfathered off-campus provider-based departments.

October 22, 2019
News & Insights

Emerging literature recommends adding social isolation to the social determinants of health, particularly for older adults. Social factors, inclusive of education, race, social supports, and poverty, account for more than 30% of total deaths in the U.S. annually.

October 21, 2019
News & Insights

A retrospective study based on ICD-10-CM data from 16,884 emergency department (ED) visits found that individuals who received emergency medical care due to cannabis poisoning were substantially more likely than other patients to experience mental health disorders.

October 21, 2019
News & Insights

Q: Is there a recommended practice for how modifiers should be included in the chargemaster? Is it preferred to add them as a separate field or included in the HCPCS field?

October 18, 2019
News & Insights

Q: We had a patient with Type 2 diabetes who was admitted for hypoglycemia with metabolic encephalopathy. The patient also had stage 2 chronic kidney disease (CKD) and a diagnosis of hypertension (HTN). Which ICD-10-CM codes should we assign for this patient’s encounter?

October 14, 2019
News & Insights

Approximately 25% of the $3.8 trillion spent annually in the U.S. on healthcare can be characterized as waste, according to an analysis recently published in the Journal of the American Medical Association.

October 11, 2019
News & Insights

Q: What clinical information is needed to effectively code and bill for the application of a cellular tissue-based product (CTP)?

October 9, 2019
News & Insights

Almost a year after CMS required hospitals to post their chargemaster online, some hospitals are going beyond the basic requirements while others lag behind, according to a recent analysis.

October 14, 2019
News & Insights

Q: Is it recommended to charge for a drug when it's dispensed or upon actual administration of the drug?

October 7, 2019
News & Insights

Q: How can we encourage our physicians and nonphysician practitioners to better define medical necessity in their documentation?

Pages