Revenue CycleUp Your Coding Game to Better Leverage SDOH
Healthcare organizations can assure the availability, integrity, security,?and usability of SDOH data through data governance, says AHIMA.
FinanceCMS Prior Authorization—Operational and Financial Impact
CMS has expanded the prior authorization requirement to two new service categories within hospital outpatient department services.
TechnologyVisual App Development Combats Technical Debt in Healthcare
Humana deploys testing app in a single month that would have taken months under previous agile hand-coding methods.
PayerOIG: Medicare Advantage Overpaid Anthem $3.5M
Anthem disputed the findings and rejected the recommendations in its rebuttal of the report.
Revenue CycleCMS Removes Two Codes from Prior Authorization List
CPT® codes 63685 and 63688 are temporarily removed from the list of services that require Medicare prior authorization when performed...
Revenue Cycle2022 IPPS Proposed Rule Seeks to Mitigate Impact of COVID-19, Walks Back MS-DRG Overhaul
CMS is proposing a 2.8% payment increase to hospitals that successfully participate in the Hospital Inpatient Quality Reporting program and...
Revenue CycleQ&A: CPT Coding for Excisional Wound Debridement with VAC
Gloria Miller, CPC, CPMA, CPPM, former vice president of reimbursement services at Comprehensive Healthcare Solutions Inc. shares which CPT codes...
Revenue CycleLeveraging Coders to Improve HCC Accuracy
This interdisciplinary team will be positioned to identify and address concerns and act quickly to implement education and policy updates.
Revenue CycleCPT Coding for E/M Visits With Wound Care
The service must be performed for a condition unrelated to the scheduled visit and must be a new condition that...
Revenue CycleOIG: Nevada-based Hospital Overcharged Medicare $23.6M for Rehabilitative Services
The OIG found that Sunrise Hospital & Medical Center in Winchester, Nevada complied with Medicare billing requirements for 46 of...
Revenue CycleUnderstanding Clinical Indicators, ICD-10-CM Reporting for CRS
Elevated levels of cytokines in an overactive immune system can cause harmful levels of inflammation throughout the body and disrupt...
Revenue CycleKLAS Crowns Winner of Revenue Integrity/Underpayment Services
Software helps clients receive owed reimbursements and fix processes that lower payments.