News & Analysis

June 3, 2019
Medicare Web

Q: Do we need a steering committee for our denial management and avoidance programs? What would be the role of a steering committee?

June 1, 2019
Briefings on APCs

Our experts answer questions about cerumen removal coding, add-on code edits, and more.

June 1, 2019
Briefings on APCs

The NCCI manual can be a powerful tool for revenue cycle staff to understand the intricacies of CMS modifier rules and Medicare edits.

June 1, 2019
Briefings on APCs

If you only bill using the CMS-1500 claim form, then you’ve probably never seen a revenue code. But if you need to bill for facilities, you know revenue codes play an important communicative role between providers and insurers. UB-04 claim forms sent to an insurance company without a revenue code associated with each charge will be rejected.

June 1, 2019
Briefings on APCs

Having taken on more diverse responsibilities, many providers regard medical coding as a necessary evil; their primary focus is caring for their patients. Although many physicians select codes for the work they perform, they rely on specialized coding and auditing professionals to review their documentation and reporting for accuracy.

May 31, 2019
Case Management Monthly

A case manager has difficulty placing a homeless patient who was admitted for life-threatening hypothermia after spending a bitterly cold night outside. 

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