Q: We are receiving denials on the grounds that encephalopathy must be...Read More »
by Chris Simons, MS, RHIA
Although managing accurate principal diagnoses and CC/MCC assignment is always going to be a focus for...Read More »
By Brian Murphy
Recently, the American College of Emergency Physicians (ACEP) and the Medical Association of Georgia (MAG) came...Read More »
Although HCCs are not new, addressing risk-adjustment methodologies is becoming more frequent in both the acute and primary settings.Read More »
Q: What is a good strategy for sharing denials data with the medical staff to ensure they understand...Read More »
By Allen Frady, RN-BSN, CCDS, CCS, CRC
Be aware of payer’s “home cooked” clinical criteria which are often not only outdated, but...Read More »
by Trey La Charité, MD, FACP, SFHM, CCS, CCDS Like it or not, provider documentation is the foundation for everything done in...Read More »
by Allen Frady, RN-BSN, CCDS, CCS, CRC More than a decade ago, I received a claim from patient financial services with a denial due...Read More »
Q: What’s the difference between RACs, MACs, and the CERT?Read More »
Last week, the AHA submitted four, non-deadline related remedies to reduce the backlog of Medicare billing appeals awaiting adjudication at the...Read More »
