Recent Discussions

Discussion List

• Pre-service coverage analyses

  244 views 1 comment 0 points Most recent by trinker April 2018COVERAGE
• Developing payer contracting resources

  472 views 1 comment 0 points Most recent by trinker April 2018PAYER CONTRACTING
• Observation Status Order Compliance

  395 views 1 comment 0 points Most recent by RHirsch April 2018COMPLIANCE
• Appropriate Use Criteria for Advanced Diagnostic Imaging

  120 views 0 comments 0 points Started by debs0906 March 2018 BILLING AND CLAIMS
• UHC downgrading ED facility coding level 4 and 5 99284/99285

  1K views 2 comments 0 points Most recent by RHirsch March 2018BILLING AND CLAIMS
• NEB performed by RN in ED - is it chargable and what revenue code

  292 views 1 comment 0 points Most recent by trinker March 2018CHARGEMASTER & CHARGE CAPTURE
• Cancelled surgeries

  770 views 2 comments 0 points Most recent by valerie@valorizeconsulting.com March 2018BILLING AND CLAIMS
• Billing for Intermittent BIPAP on different days during a stay

  163 views 0 comments 0 points Started by cpowers@nthrive.com March 2018 BILLING AND CLAIMS
• Billing Observation Hours in CC44 Scenario

  475 views 1 comment 0 points Most recent by dwilliamsrsi March 2018BILLING AND CLAIMS
• Physician Advisor Services

  188 views 0 comments 0 points Started by btadwalt March 2018 DENIALS & APPEALS
• HOSPITAL SYSTEM MOVING TO 1 TAX ID # AND 3 DAY BUNDLING RULE

  178 views 0 comments 0 points Started by aclark2 March 2018 REIMBURSEMENT & PAYMENT METHODOLOGIES
• Mobile cardiovascular telemetry (MCT) professional read 93228 and DOS

  136 views 0 comments 0 points Started by aclark2 March 2018 BILLING AND CLAIMS
• Documentation used for outpatient Rehab ICD10CM Dxes coding

  136 views 0 comments 0 points Started by pam.riddle March 2018 CODING & DOCUMENTATION
• Unacceptable Principal Diagnosis - apply to Inpatient coding? or both IP coding and OP

  2.1K views 1 comment 0 points Most recent by dwilliamsrsi February 2018CODING & DOCUMENTATION
• KX Modifier Therapy Caps

  415 views 3 comments 0 points Most recent by valerie@valorizeconsulting.com February 2018BILLING AND CLAIMS
• FY Modifier with IR Imaging Procedure

  148 views 0 comments 0 points Started by diane.prince@optum360.com February 2018 BILLING AND CLAIMS
• RECOVERY CHARGING

  633 views 1 comment 0 points Most recent by aclark2 February 2018CHARGEMASTER & CHARGE CAPTURE
• Looking for a model to share payer updates and charges

  233 views 0 comments 0 points Started by aclark2 February 2018 PAYER CONTRACTING
• Medicare HMO guidelines for patient status

  1K views 3 comments 0 points Most recent by RHirsch January 2018COMPLIANCE
• Billing for orthotic or prosthetic supplies

  737 views 1 comment 0 points Most recent by valerie@valorizeconsulting.com January 2018BILLING AND CLAIMS
• CAR-T

  155 views 0 comments 0 points Started by jugnashah December 2017 COVERAGE
• Participants in the 340B program

  263 views 1 comment 0 points Most recent by jugnashah December 2017BILLING AND CLAIMS
• 92941 added to Inpatient only list for 2018

  4.7K views 1 comment 0 points Most recent by dwilliamsrsi December 2017CODING & DOCUMENTATION
• Emergency Department Diagnosis that are on an Auto Pay List

  179 views 0 comments 0 points Started by trinker December 2017 BILLING AND CLAIMS
• Acute MI- did you know it may pay more as outpatient?

  167 views 0 comments 0 points Started by ronaldhirsch December 2017 REIMBURSEMENT & PAYMENT METHODOLOGIES
• Are you interested in having your voice heard by CMS and impacting national payment policy?

  197 views 0 comments 0 points Started by trinker November 2017 GENERAL
• New Devices, How do you Evaluate the financial impact?

  482 views 4 comments 0 points Most recent by dmay2 November 2017CHARGEMASTER & CHARGE CAPTURE
• Pre-service coverage analysis

  142 views 0 comments 0 points Started by mcohen@blr.com November 2017 COVERAGE
• CAR-T?

  515 views 3 comments 0 points Most recent by jugnashah October 2017REIMBURSEMENT & PAYMENT METHODOLOGIES