Physician assistants are reimbursed under strict guidelines established by Medicare, Medicaid, TRICARE, and commercial payers, making it critical that coding and billing of PA services is accurate, complete, and compliant. […]
3M experts describe strategies for developing a comprehensive hospital claim validation strategy.
Hospitals have relied on a relatively manual process and retrospective audits for coding compliance, but new technology is streamlining the process, allowing providers to get ahead of denials.
In her article, Kelly Long, CPC, discusses the importance of accurate and compliant physician assistant reimbursement.
This article from Rhonda Butler details the 2020 IPPS proposed rule and highlights noteworthy proposed changes.
Rebecca Caux-Harry highlights the importance of provider education regarding Excludes notes in ICD-10.
HIM, CDI, and inpatient coding professionals can play a significant role in helping their organizations be successful under HACRP. Read Cheryl Manchenton’s article to find out how.
Beth Wolf, MD, a physician adviser to 3M Health Information Systems, gives her take on what progressive, forward-thinking health care organizations should be doing in order to implement new documentation […]
Correct use of unlisted CPT codes is one of the more confusing aspects of CPT coding for both coders and physicians. In her article, Karla VonEschen provides guidance.
Michael Keyes describes the approach used by the State of New York in promoting the transition to value-based payment (VBP) and provides insights for how providers nationwide should approach VBP […]
Cheryl Manchenton, RN, provides guidance to help keep your organization on the right track when it comes to accurate and complete PSI metrics.
If both facility and pro fee coders are looking at the same documentation and need to identify the same procedures, why can’t it be done by the same coder? Brooks […]