Coding and Documentation

CMS is proposing a 2.4% increase in operating payments for acute care hospitals and weighing numerous modifications to quality and reporting programs tied to reimbursement.

Create your recipe for revenue integrity success.

Anna Santoro, MBA, CHRI, CCS, CCS-P, RCC, shares strategies for combatting authorization denials related to procedure and device codes.

Understand how to appropriately bill for services using modifier -25.

Gain insights into potential compliance gaps and audit targets.

Use these expert tips to solve your revenue integrity questions.

Review CMS guidance on ordering and documenting bacterial culture lab tests to prevent denials.

After the Office of Inspector General discovered Medicare paid millions more for physician services at higher non-facility rates while enrollees were inpatients, CMS is taking steps to ensure proper place of service (POS) code selection.