- All
- Appeal Management
- Blog
- CMS
- COVID-19
- Denial Management
- Inpatient Only List
- Length of Stay
- Medicare
- Observation and Inpatient Policy
- Payers
- Peer-to-Peer
- Position Paper
- Rural Health
- Utilization Review
HHS OIG Report Shows Code Adjustments May Indicate Denials
HHS OIG Report Shows Code Adjustments May Indicate Denials Read More »
CMS Proposed Rule Changes for MA Patients
Payer Prior Authorization Continues to Create Roadblocks
Payer Prior Authorization Continues to Create Roadblocks Read More »
New UHC Hospital Services Observation and Inpatient Policy Takes Effect Dec. 1, 2022
New UHC Hospital Services Observation and Inpatient Policy Takes Effect Dec. 1, 2022 Read More »
Without Proper Documentation, Inpatient Denials are Often Upheld
Without Proper Documentation, Inpatient Denials are Often Upheld Read More »
Medicare Appeals Process Needs to be Amended
Which Guidelines Should Hospitals Follow for an Observation Stay?
Which Guidelines Should Hospitals Follow for an Observation Stay? Read More »
Justice Department Files Lawsuit Against UnitedHealth to Stop Change Healthcare Acquisition
AHA’s Advocacy of Rural Hospital Issues is Needed
AHA’s Advocacy of Rural Hospital Issues is Needed Read More »
How Does the Two-midnight Rule Apply When a Traditional Medicare Patient Has No Safe Discharge Plan?
CMS to Keep the Inpatient Only List
Appealing Denials through the Medicare Claims Appeals Process Works
Appealing Denials through the Medicare Claims Appeals Process Works Read More »
Good Documentation can Reduce Hospital Admission Denials
Good Documentation can Reduce Hospital Admission Denials Read More »
With COVID-19, Hospitals Need Every Financial Advantage
With COVID-19, Hospitals Need Every Financial Advantage Read More »
CMS Reverses Course on Inpatient Only List
Eliminating the CMS IPO List will Continue to Complicate Hospital Stays
Eliminating the CMS IPO List will Continue to Complicate Hospital Stays Read More »
Utilization Review: In-house or Outsource?
Documentation – A Key for Reduced Denials
A Quiet Shift that Could Shake Up Hospital Utilization Review
A Quiet Shift that Could Shake Up Hospital Utilization Review Read More »
Utilization Review Management Can Help Hospitals with COVID Revenue Loss
Utilization Review Management Can Help Hospitals with COVID Revenue Loss Read More »
Providing the Best Outcome for Patients Through UR
Providing the Best Outcome for Patients Through UR Read More »