July 29, 2019
News & Insights

CMS recently announced that it updated the national coverage policy for transcatheter aortic valve replacement (TAVR), requiring covered hospitals and physicians to begin or maintain a TAVR program and adhere to updated volume requirements.

August 2, 2019
News & Insights

The January 1, 2020, deadline for reporting Appropriate Use Criteria (AUC) for advanced diagnostic imaging is fast approaching—but organizations can’t wait until the new year to prepare.

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 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 1, 2019
Briefings on APCs

Before starting an ambulatory or outpatient CDI program, those tasked with the project must first create some universal definitions so everyone is on the same page and speaking the same language.

July 3, 2019
News & Insights

Anne Arundel Medical Center in Annapolis, Maryland, will pay $3,154,000 to settle allegations that it submitted false claims to Medicare for medically unnecessary evaluation and management services and separately billing bundled procedures

July 1, 2019
Briefings on APCs

CMS recently released two quarterly updates effective July 1: Medicare Claims Processing Transmittal 4313, which is the July update to the OPPS, and Medicare Claims Processing Transmittal 4314, which is the related July update to the Integrated Outpatient Code Editor (I/OCE) Specifications, Attachment B.

July 24, 2019
HIM Briefings

Ensure inpatient coders get an MS-DRG refresher to perfect code assignment and strengthen reimbursement.

July 1, 2019
News & Insights

CMS recently agreed to settle an ongoing dispute with inpatient rehabilitation facilities (IRF) over the backlog of denied Medicare claims.

June 28, 2019
News & Insights

The Revenue Integrity Symposium is filled with so much information that applies to all levels of revenue integrity from those of us in the trenches to management. It will be my third year attending and I’m still finding new sessions to attend. And the networking is amazing!

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