News & Analysis

February 1, 2017
Medicare Insider

This week's note from the instructor discusses changes to the Medicare Appeals Process as set forth in the final rule published January 17, 2017.

February 1, 2017
Briefings on APCs

Our experts answer questions about reporting and payment for new moderate sedation codes, billing for unlisted drugs and biologicals, and more. 

February 1, 2017
Briefings on APCs

Inpatient coding departments are likely familiar with integrating clinical documentation improvement (CDI) specialists into their processes. Crystal Stalter, CPC, CCS-P, CDIP, looks at how CDI techniques can benefit outpatient settings and what services and codes facilities should target. 

February 1, 2017
Briefings on APCs

The 2017 ICD-10-CM updates included a significant number of additions to digestive system diagnoses, especially codes for pancreatitis and intestinal infections. These codes are largely focused in the lower gastrointestinal (GI) tract, and a review of the anatomy of this body system could help improve accurate documentation interpretation and code selection.

January 31, 2017
HIM Briefings

The 30-day all cause acute myocardial infarction (AMI) mortality outcome measure has been linked to hospital payments since the inception of the Hospital Value-Based Purchasing Program (HVBP) in fiscal year 2013. In February 2016, CMS announced that 70% of commercial payers have agreed to use this measure as one of the cardiology outcomes linked to payment.

January 31, 2017
Medicare Insider

This week’s Medicare updates include a CMS Beneficiary Notices Initiative website update regarding the MOON form and instructions and more!

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