Hospital Articles and Resources
Hospital Billing tools offer many solutions to support hospital billing processes as well as auditing, payers' pricing, life planning and more....
Use the DRG Grouper to determine how much Medicare will pay, further group DRG's into Major Diagnostic Categories (MDCs), and use the ICD-10-PCS official guidelines to ensure compliance.
ICD-10-CM/PCS MS-DRG v37.0 Definitions Manual - CC and HCC Codes
Resources
Select the title to see a summary and a link to the full article. some articles require a subscription to view.
E/M Transformations and Clarifications Eff January, 1 2023
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
2023 Procedure Coding Updates Are Just Weeks Away
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
by Ronald Hirsch, MD FACP CHCQM CHRI
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
More Audits and More Problems
by Ronald Hirsch, MD FACP CHCQM CHRI
Why You Should Be Using The Two-Midnight Rule
by David M. Glaser, JD
by CMS - MLNConnects
by Chelsea Richwine and Christian Johnson
The Nuances of the Two-Midnight Rule
by David M. Glaser, JD
The Conundrum Presented by Outpatient Surgeries
by Mary Beth Pace, RN BSN MBA ACM CMAC
2022-03-03-MLNC - 2022 Payment, Quality, & Policy Changes
by CMS - MLNConnects
by CMS - MLNConnects
PCS Coding for Ankle Fracture - Look Deeper Into the Codes!
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
IPPS and DRG's: What it Means
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Coding with PCS When There is No Code
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Understanding UCR Inpatient Fees used on DRGs
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
So How Do I Get Paid for This? APC, OPPS, IPPS, DRG?
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Type of Bill Code Structure (2018-08-30)
by Find-A-Code™
by Wyn Staheli, Director of Content - innoviHealth
Tools and Resources for Life Care Planners
by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Select the title to see a summary and a link to the full webinar information. some webinars require a subscription to view.
2023 Annual Update Summary
by Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT
Be sure you are ready for 2023 with this review of the upcoming coding and reimbursement updates for 2023. This informative webinar discusses changes to CPT codes and guidelines including a summary of the changes to E/M services and an overview of changes to other CPT categories.by Find-A-Code™
Do your providers perform and report Evaluation and Management (E/M) services in the inpatient setting? Does the documentation match with the services being billed, or does it fall short? Join Aimee for a hands-on audit of an inpatient E/M service and get an idea of the information and documentation needed to correctly code inpatient E/M services.Links and resources by topic.
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