July 24, 2019
News & Insights

An analysis of the impact of the three-night requirement for skilled nursing facility admission, wage index reform, and costs of recalled medical devices top the Office of Inspector General’s (OIG) list of top unimplemented recommendations.

July 29, 2019
News & Insights

Q: For an inpatient-only procedure, can the inpatient order be obtained the day after surgery, and if so, we are still allowed to bill as inpatient for the entire stay?

July 1, 2019
Briefings on APCs

ED physicians commonly treat fractures. A fracture can be the result of a traumatic injury, such as a fall, or may be pathologic (i.e., due to a disease process). In general, fractures can be classified as open or closed, displaced or nondisplaced.

July 22, 2019
News & Insights

Clinical researchers at Johns Hopkins Hospital in Baltimore, Maryland, developed and tested a modified version of the Team Strategies and Tips to Enhance Performance and Patient Safety debriefing tool in a multidisciplinary urban emergency department (ED). They found that the tool was helpful in identifying safety threats and opportunities for performance improvement.

July 22, 2019
News & Insights

Q: Are there are metrics we can use to determine whether our clinical trials are financially successful?

July 19, 2019
News & Insights

The Revenue Integrity Symposium brings together so many aspects of revenue cycle management, compliance, and payer policies across settings.

July 17, 2019
News & Insights

CMS is extending its enforcement discretion period for its laboratory date of service (DOS) exception policy to January 2020.

July 1, 2019
Briefings on APCs

In 2013, “Guidelines for Achieving a Compliant Query Practice,” a collaboration between AHIMA and ACDIS, was published. It has served as the industry guideline for the establishment of best practices surrounding queries. The 2019 update reinforces the information set forth in the preceding practice briefs while also introducing some newer guidelines reflective of today’s healthcare environment.

July 15, 2019
News & Insights

CMS proposed one mandatory and four voluntary alternative payment models (APM) for Medicare beneficiaries who receive treatment for chronic kidney disease and end-stage renal disease.

July 15, 2019
News & Insights

Q: What are the pros and cons of conducting a 100% retrospective charge segregation review for clinical trial claims?

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