News & Analysis

September 1, 2021
Case Management Monthly

CMS has reinstated the short-stay reviews and high-weighted DRG reviews originally halted in 2019. The national contract to conduct these reviews was awarded to Livanta, one of the Beneficiary & Family-Centered Care and Quality Improvement Organizations.

September 1, 2021
Case Management Monthly

As the country sees a resurgence of COVID-19 thanks to the delta variant, hospitals are seeing an increase not only in their immediate census numbers, but also in the number of readmissions.

September 1, 2021
Briefings on HIPAA

With the first month of fall arrived, it’s time to start thinking of the year ahead—and, of course, to finish the year strong. We’ve gathered some HIPAA compliance tips to consider while getting through the final third of the year and building some compliance momentum heading into 2022.

September 1, 2021
Briefings on APCs

Review proposed updates to the CPT set for 2022, including new codes for chronic care management, laser interstitial thermal therapy, spinal anesthesia, and more.

September 1, 2021
Briefings on APCs

Our coding experts answer questions about reporting the -X{EPSU} modifiers, modifier -51, and more.

September 1, 2021
Briefings on APCs

Outpatient coding for injections and infusions can be challenging given the foundational definitions and complex rules that drive reporting of these services. This article breaks down the facility drug administration hierarchy and CPT coding for therapeutic infusions, injections, and hydration.

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