March 25, 2025
Emmel Golden, MD, FCCP
March brings excitement of the men’s and women’s Division 1 NCAA tournaments. However, for those dealing with payment denials from Medicare Advantage companies, another concern…
March 5, 2025
Emmel Golden, MD, FCCP
March is windy, and the rapidly changing weather can take your breath away. The ICD-10 codes that catch the most downdrafts are J69.01 and J96.21.
February 10, 2025
Emmel Golden, MD, FCCP
Whether your team won or lost the Super Bowl, we can all appreciate a good sports metaphor. Hospitals and healthcare systems face daily challenges with…
November 28, 2023
Emmel Golden, MD, FCCP, CCDS
In the realm of healthcare reimbursement, understanding and addressing clinical validity is crucial to minimizing payment denials. This blog delves into the significance…
November 28, 2023
Emmel Golden, MD, FCCP, CCDS
AHIMA and ACDIS published the updated guidelines for Guidelines for Achieving a Compliant Query Practice—2022 Update this year. How are you…
July 21, 2023
Eli Freilich, MD, MMM, CHCQM-PHYADV, CCDS, CCDS-O, CRCR
Readmission Rates: Readmissions are frequent and costly. It is estimated that there were over 3.8 million 30-day all cause adult…
March 3, 2023
Eli Freilich, MD, MMM, CHCQM-PHYADV, CCDS, CCDS-O, CRCR
Are you ready for some potentially big changes in the CMS-HCC model? In February, CMS proposed many changes in the model–including for the first time…
December 1, 2022
Emmel Golden, MD, FCCP, CCDS
The Rise of RSV and Influenza The United States is in the midst of a nationwide outbreak of RSV and Influenza A infections. These…
March 29, 2022
Emmel Golden, MD, FCCP, CCDS
If searching the 2022 IPPS (2,295 pages) for the word determinants, the word appears 18 times. CMS is asking for comments and it appears that…
February 18, 2022
Eli Freilich, MD, MMM, CHCQM-PHYADV, CCDS, CCDS-O, CRCR
COVID and the OIG As you are aware the CARES Act of 2020 provides for an additional 20% above the billed DRG for treating a…
December 6, 2021
Emmel Golden, MD, FCCP, CCDS
A secondary hypercoagulable state in patients with atrial fibrillation, a sticky subject. Does a secondary hypercoagulable state exist in patients with atrial fibrillation (AF)? This…
October 4, 2021
Adriane Martin, DO, CCDS, FACOS
It is safe to say that since January of 2020 not a day has gone by without mention of Covid being made by the media…
