News & Analysis

December 2, 2020
News & Insights

Q: During the novel coronavirus (COVID-19) pandemic, it has become abundantly clear that the burden from this disease has not been shared equally. Minorities have been disproportionately affected, and many of the problems are due to structural inequalities that existed long before the pandemic began. How can case managers address some of these underlying problems in hopes of improving health equality?

December 1, 2020
Briefings on APCs

Modifiers provide a means by which a physician or facility can flag a service that has been altered by a special circumstance but has not changed in definition or code. Break down CPT guidelines for reporting hospital modifiers -25, -50, -59, -LT, and RT.

December 1, 2020
Briefings on APCs

Our coding experts answer questions about ICD-10-CM coding for cytokine release syndrome, identifying overpayments, and more.  

December 1, 2020
Briefings on APCs

The HIM department plays a critical role in the revenue cycle, but it’s often placed in a reactive position, limiting its effectiveness. Learn how to improve operations by enhancing the HIM department’s involvement across the revenue cycle.

December 1, 2020
Briefings on APCs

CMS' new final rule prepares for vaccine coverage for Medicare, Medicaid, and commercial insurers without any out-of-pocket costs. CMS will pay for any coronavirus vaccine that receives FDA authorization either through an Emergency Use Authorization or via a license under a Biologics License Application.

November 30, 2020
News & Insights

Q: What kind of information can a denial analysis provide and how can we put it to use?

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