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…
August 2, 2021
Eli Freilich, MD, MMM, CHCQM-PHYADV, CCDS, CCDS-O
In this post-Covid error, managing denials is not the way to enhance revenue and reduce expenses. It is more important…
July 5, 2021
Brett Senor, MD, CCDS, CCDS-O
On February 2020 one of our colleagues…
June 7, 2021
Eli Freilich, MD, CHCQM-PHYADV, CCDS, CCDS-O
June is the month commonly designated as burglary prevention month. It is a time that many of us go on vacation and leave our homes…
