by Melissa Varnavas
It’s that time of the year again: time to pull down the tome that is the inpatient prospective payment system (...Read More »
By Sam Antonios, MD, MMM, FACP, SFHM, CPE, CCDS
Consider the story of a patient—say, a pneumonia patient—whose treatment cost a lot...Read More »
Auditors could be able to extrapolate findings to larger pools of claims, according to a CMS...Read More »
FEATURES7 Concurrent coding12 CMS-HCC version 23...Read More »
Q: We’re seeing an increase in the volume of medical record requests from external auditors. How can...Read More »
Two physicians and three nurses were sentenced last week in a $11.3 million Medicare fraud scheme involving false and fraudulent claims for home...Read More »
Q: How can we help our physicians improve their documentation of medical necessity?Read More »
The number of upcoded cases for patients who underwent gastrointestinal (GI) surgeries increased over a 10-year period, according to a...Read More »
UnitedHealthcare announced recently that, starting January 1, 2019, they will use sepsis-3 criteria for validating sepsis claims.Read More »
With Autumn Reiter, RN, BSN, CCDS, CDIP, CCS, director of staffing services for TrustHCS.
To view the article Medicare Eases Readmission Penalties for Safety-Net...