December 1, 2021
Briefings on APCs

Joe Rivet, Esq., CCS-P, CPC, CEMC, CHC, CCEP, CHRC, CHPC, CICA, CPMA, CAC, CACO, writes about key regulatory updates in the 2022 Outpatient Prospective Payment System (OPPS) final rule, including increased price transparency penalties, changes to the inpatient-only list, and payment changes.

December 1, 2021
Case Management Monthly

The 2022 OPPS final rule is out, and as predicted, CMS reversed its plan to eliminate the inpatient-only list over the next three years.

November 1, 2021
Case Management Monthly

Interventions to reduce length of stay for high-risk, medically complex, and otherwise vulnerable patients are falling short, according to a technical brief prepared for the Agency for Healthcare Research and Quality.

November 1, 2021
Briefings on APCs

Read up on documentation requirements and CPT coding for psychiatric diagnostic evaluations and psychotherapy services.

November 18, 2021

Calling all revenue cycle and revenue integrity experts: NAHRI is currently seeking speakers for the 2022 Revenue Integrity Symposium (RIS), to be held September 19–20 in Phoenix, Arizona.

November 1, 2021
Case Management Monthly

CMS recently released an interim final rule called Requirements Related to Surprise Billing; Part II, which builds on the No Surprises Act. It aims to prevent patients from shouldering the financial burden related to unexpected out-of-network costs.

November 1, 2021
Briefings on APCs

Transcatheter arterial septostomy and transcatheter intracardiac shunt procedures are used to treat congenital cardiac diseases that restrict blood flow and atrial communication. Review documentation requirements and CPT coding for these minimally invasive surgeries.

November 17, 2021
HIM Briefings

Objective information produced by electronic data is fast becoming an essential component of value-based care and permeates every component of the healthcare ecosystem. Learn how to use electronic remittances as a source of truth for denials.

November 1, 2021
Briefings on APCs

The fiscal year 2022 ICD-10-CM code set introduced 165 new codes, effective for encounters on or after October 1. Read about notable changes including new codes for anemia and thrombolysis, COVID-19-realted conditions, depression, and gastric metaplasia.

October 1, 2021
Briefings on APCs

ICD-10-CM coding for neuropathies can be challenging given the complexity of these diagnoses and associated complications. Demystify documentation requirements and ICD-10-CM coding for ischemic and hemorrhagic strokes, migraine headaches, and paralysis.

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