Sepsis is a systemic, deleterious response to infection that can lead to severe sepsis and septic shock. Brush up on sepsis criteria and documentation and coding guidelines.
Payer audits are likely to pick up steam as the COVID-19 public health emergency expires. Experts share tips for managing audits and what types of claims payers may focus on.
CMS recently revised the evaluation and management (E/M) coding guidelines for inpatient providers. Understand the far-reaching effects of the changes and how to ensure your organization is in compliance.
Regular charge reconciliation is a cornerstone of complete, compliant reimbursement but is a common weak point for hospitals. Apply these tips to support clinical staff responsible for charge reconciliation and improve charge capture.
Analyzing data that comes from claim scrubber edits, return to provider edits, variances, and denials can provide insight into repetitive issues that delay the processing of a claim or lead to denials. Use these tips to improve your organization's pre-billing analysis processes.
