Quality & Regulatory

U.S. News & World Report plans to stop using PSIs as a metric, no longer factoring those measures into its specialty rankings of the nation’s...Read More »

According to a 2017 poll on the ACDIS website...Read More »

The AHA and AMGA commended CMS for ...Read More »

A trial court judge ruled...Read More »

CMS released the 2019 OPPS final rule on Friday,...Read More »

CMS hit the brakes on making imminent changes to the oft-used evaluation and management (E/M) code set that’s tied to billions of dollars in...Read More »

by Lynette Kramer, MA, RHIA

A contemporary denial avoidance and management program should be a cross-functional, ongoing...Read More »

Auditors could be able to extrapolate findings to larger pools of claims, according to a CMS...Read More »

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 »