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Healthcare Coding & Reimbursement

Make informed coding, compliance, and reimbursement decisions

With the transition to ICD-10, increased clinical documentation demands, and an alphabet soup of audit agencies, quick access to up-to-date coding and reimbursement information is critical. We can help, with the primary source content and expert tools you need to minimize claims denials and secure your bottom line.

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Insights and Updates

Keep current with daily news, follow emerging trends, and explore in-depth topical analysis with products and services you can trust.

White Paper
Frost & Sullivan: The Increasing Challenge of Managing Regulatory and Compliance Risk

Download the Frost & Sullivan white paper, “The Increasing Challenge of Managing Regulatory and Compliance Risk”, for their insight into the many Federal Government drivers of change and developing payment models, state regulatory and private payer issues in flux, and the security and privacy concerns that create regulatory and reputational risk.

White Paper
Simplify the Inpatient Prospective Payment System

It's no surprise to Revenue Cycle professionals that the MS-DRG payment process is very complicated with confusing regulations and complex government pricer tools. While each Medicare MS-DRG Payment has a relative weight, an operating portion and a capital portion; there may be a readmission portion, a value-based purchasing (VBP) portion or a HAC adjustment. Additionally, there may even be pass-through, uncompensated care or low volume add-on payments. Download the white paper for an overview of typical MS-DRG payment challenges faced by reimbursement professionals.

November 27, 2017
Auditing Your Interventional Radiology Reports to Insure Complete and Compliant Reimbursement

CPT coding for Interventional Radiology (IR) services has always been viewed as one of the more complex services lines to master, let alone understand!  Component coding, complete procedure coding “hybrid” bundled coding—all techniques and options are in play.  As a professional responsible for assigning the CPT codes for these services, what are best practices?  Pitfalls?    

August 17, 2017
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