News & Analysis

September 1, 2021
Case Management Monthly

CMS has reinstated the short-stay reviews and high-weighted DRG reviews originally halted in 2019. The national contract to conduct these reviews was awarded to Livanta, one of the Beneficiary & Family-Centered Care and Quality Improvement Organizations.

September 1, 2021
Case Management Monthly

As the country sees a resurgence of COVID-19 thanks to the delta variant, hospitals are seeing an increase not only in their immediate census numbers, but also in the number of readmissions.

September 1, 2021
Briefings on APCs

To select the most specific CPT codes for prenatal care, physician coders must have a solid understanding of complex guidelines for reporting pregnancy-related office visits. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, unpacks services included in the global obstetric package and CPT coding for routine prenatal care.

September 1, 2021
Briefings on APCs

Outpatient coding for injections and infusions can be challenging given the foundational definitions and complex rules that drive reporting of these services. This article breaks down the facility drug administration hierarchy and CPT coding for therapeutic infusions, injections, and hydration.

September 1, 2021
Briefings on APCs

Review proposed updates to the CPT set for 2022, including new codes for chronic care management, laser interstitial thermal therapy, spinal anesthesia, and more.

August 27, 2021
Medicare Insider

This week's note from the instructor delves into how recent OIG hospital audits can be used as guides for self-monitoring via internal audits and quality reviews. 

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