Billing and reimbursement

Analyze common coding and documentation mistakes that organizations make when submitting skin substitute claims. 

Q: What is the purpose of hospital mortality reviews, and how are they calculated?

CMS recently published two proposed rules to spell out potential payment updates and policy changes for outpatient and physician services.

Download a recent report from Waystar to get exclusive feedback from revenue cycle leaders on their top investment priorities and strategic focus areas for 2025.

With risk adjustment’s impact on reimbursement, review tips for accurate coding, compliant documentation, and timely responses.

Learn how CMS plans to enhance its risk adjustment data validation auditing efforts for Medicare Advantage (MA) plans and recover overpayments.

CMS is seeking feedback on potential policy changes ahead of the third cycle of negotiations under the Medicare Drug Price Negotiation Program.

Learn how HIM professionals can leverage data related to social determinants of health (SDOH) to improve patient care and secure proper reimbursement.

Even though Congress didn’t fully unleash telehealth services, instead extending the long-running telehealth waivers through September, making your telehealth services a permanent offering can improve your practice’s financial health.

Analyze CMS' recent coverage expansion for hepatitis B vaccines and their administration.