CMS Releases 2022 Proposed Inpatient Prospective Payment System Rules
Published: Mon, 05/24/21
CMS Releases 2022 Proposed Inpatient Prospective Payment System Rules On April 27, 2021, the Centers for Medicare & Medicaid Services (CMS) released a…
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ICD-11 Prep: Examining Prominent Changes in Preparation for the Transition
Published: Tue, 05/18/21
ICD-11 Prep: E amining Prominent Changes in Preparation for the Transition Since the World Health Organization (WHO) announced the release of the…
Medicare Payment Bumped for COVID-19 Antibody, At-Home Infusions
Published: Fri, 05/14/21
Medicare Payment Bumped for COVID-19 Antibody, At-Home Infusions CMS has raised the Medicare payment rate for certain COVID-19 antibody infusions and…
Understanding the Difference Between Medical Necessity and Medical Care
Published: Thu, 04/22/21
Understanding the Difference Between Medical Necessity and Medical Care The term “medical necessity” is used far and wide in medical care. But medical…
Is the doctor in? Improve nursing homes with one easy stroke
Published: Fri, 04/16/21
Is the doctor in? Improve nursing homes with one easy stroke Many nursing home COVID-19 patients would have benefited from daily, reimbursed-for…
CMS Releases First Payment Rules for FY 2022
Published: Tue, 04/13/21
CMS Releases First Payment Rules for FY 2022 The Centers for Medicare & Medicaid Services (CMS) has issued its first proposed payment rules under the…
5 Use Cases for AI in Behavioral Health Practices
Published: Wed, 03/31/21
5 Use Cases for AI in Behavioral Health Practices With dwindling provider availability and a growing patient population, the healthcare industry is…
Top Challenges, Opportunities of Medical Coding and Billing
Published: Mon, 03/29/21
Top Challenges, Opportunities of Medical Coding and Billing By April of last year, seemingly every news station in American was featuring the heroic…
A Novel Approach to Defending Technical Denials
Published: Tue, 03/23/21
A Novel Approach to Defending Technical Denials For years, providers have been plagued with defending claims for medically necessary services that…
Integrating COVID-19 into Coding and Clinical Documentation Integrity
Published: Mon, 03/15/21
Integrating COVID-19 into Coding and Clinical Documentation Integrity Understanding how to clinically validate sepsis and differentiate between sepsis…