News & Analysis

June 8, 2022
Case Management Monthly

For years, case management experts have been urging hospitals to capture the ICD-10-CM Z codes for social determinants of health SDoH. But the message doesn’t appear to be resonating.

June 8, 2022
Medicare Insider

This week’s Medicare updates include a revision to a transmittal on place of service codes for telehealth, an OIG review of outpatient outlier payments, updates to a handful of chapters in the Claims Processing Manual, and more!

June 1, 2022
Medicare Insider

This week’s Medicare updates include the July 2022 update to the Outpatient Prospective Payment System, the withdrawal of the SUNSET final rule, an updated memo on reporting COVID-19 data for hospitals and critical access hospitals, and more!

June 1, 2022
Briefings on APCs

Hospital coding for wound procedures is notoriously difficult, as the process can seem as messy as the injuries themselves. Clarify wound documentation and guidance for reporting wound diagnoses and procedures using ICD-10-CM, CPT, and HCPCS Level II codes.

June 1, 2022
Briefings on APCs

Coding managers should not assume that they can review every coding guideline, Coding Clinic, or coding-related issue targeted by the Office of Inspector General. Review considerations for conducting focused internal and external audits.

June 1, 2022
Briefings on APCs

Modifier -JW is used to describe drug amounts that are discarded and not administered to any patient. Refresh your knowledge of this modifier with coding tips and example scenarios.

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