Coding and Documentation

Among the proposed changes, many of which affect quality and data reporting programs, are proposed changes to claims data used for rate setting, a delay of the three way split criteria for MS-DRGs, and more.

The agenda for the 2022 Revenue Integrity Symposium (RIS) has been released. The event, to be held September 19–20 at the Hilton Phoenix Resort at the Peak in Phoenix, Arizona, will feature two educational tracks covering essential revenue integrity education, updates, and thought leadership.

The FDA revised its emergency use authorization for EVUSHELD™, tixagevimab co-packaged with cilgavimab.

Find creative solutions to revenue integrity challenges.

Fran Jurcak, MSN, RN, CCDS, CCDS-O, looks at how machine learning can improve efficiency in the middle revenue cycle.

Review billing and charging essentials for new technology add-on payments.

Dealing with denied claims is an inherent part of healthcare billing. Although having a plan to address denied claims is a high priority, implementing a plan to reduce the number of denials is just as important. Doing more work up front in the healthcare billing process reduces the amount of re-work needed on the back end.

The American Medical Association recently announced three new CPT codes for administration of Pfizer’s COVID-19 vaccine in children 6 months to under 5 years old.

CMS has recently published One-Time Notification Transmittal 11191 regarding the new codes for the Acute Hospital Care at Home program.