September 6, 2017
News & Insights

Despite the 75 million consumers enrolled in high deductible health plans, many are still uncertain about their payment responsibility. 

August 24, 2017
News & Insights

CMS rescinded Transmittal SE1607 August 18, which was related to its enforcement of the 20 hours per week billing requirement for its partial hospitalization program. 

August 30, 2017
Case Management Monthly

Mrs. Jones is a surly 86-year-old patient on day four of her hospitalization.

August 11, 2017
Case Management Monthly

So, you just tossed out the old version of your Advance Beneficiary Notice of Noncoverage (ABN) form and traded it for a fresh version, which went into effect in June. Get ready for another round of replacements.

August 9, 2017
News & Insights

Improper payments can easily occur due to errors in billing, coding, or medical necessity. As such, it’s important to have a program in place to help you identify and prevent improper payments.

August 2, 2017
News & Insights

As more focus is placed on improved revenue integrity management, coordination, and collaboration, revenue cycle is evolving to revenue integrity. As such, it’s important to understand the classic revenue integrity issues which can arise at any facility.

August 2, 2017
HIM Briefings

The new ICD-10-CM codes for FY 2018, effective October 1, represent significant changes in our documentation and coding practices. In follow-up to last month’s column, let’s discuss additional new codes and their potential impact upon your diagnostic decision-making and documentation.

July 28, 2017
Case Management Monthly

When Spencer Johnson wrote the iconic book, Who Moved My Cheese? An A-Mazing Way to Deal With Change in Your Work and in Your Life, he probably didn’t have the homecare industry in mind. But with the speed of reimbursement and regulatory issues surrounding us today, he certainly could have. 

July 26, 2017
News & Insights

A unique organizational model has been developed to handle chargemaster and other revenue integrity workflow at Mary Rutan Hospital in Bellefontaine, Ohio; after sourcing its charge functions from throughout the organization, the hospital has created a centralized team, housed under the title of charge integrity.

July 19, 2017
News & Insights

For hospitals to understand how claims are audited, they must be aware of how health plans are tackling payment integrity.

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