Revenue Cycle News and Analysis

June 29, 2022
Medicare Insider

This week’s Medicare updates include the 2023 Home Health Prospective Payment System proposed rule, the 2023 End Stage Renal Disease Prospective Payment System proposed rule, updated EUAs for the Pfizer and Moderna COVID-19 vaccines, and more!

June 29, 2022
Medicare Insider

This week’s Medicare updates include the 2023 Home Health Prospective Payment System proposed rule, the 2023 End Stage Renal Disease Prospective Payment System proposed rule, updated EUAs for the Pfizer and Moderna COVID-19 vaccines, and more!

June 29, 2022
HIM Briefings

Effective audit are key to compliance and accurate reimbursement. Apply these tips to launch a refresh of your organization's audit process.

June 29, 2022
Case Management Monthly

Kathy, a float case manager, is realizing that severe COVID-19 ruins lungs. Presently, Kathy has a patient who has suffered from severe COVID-19 and has been intubated and mechanically ventilated for more than a month in the ICU with no immediate recovery in sight.

June 22, 2022
Medicare Insider

This week’s Medicare updates include the ICD-10-CM files for FY 2023, a new item for the OIG Work Plan, a revision to the July 2022 update to the OPPS, and more!

June 22, 2022
HIM Briefings

Patients transferred into their hospitals from facilities both near and far often have transition challenges, which become problems that the receiving hospital will have to resolve. Use this sample transfer agreement to use as a template for your organization.

June 22, 2022
Case Management Monthly

The Case Management Society of America recently published The Practice of Hospital Case Management: A White Paper, which details the role a case manager should play in the hospital.

June 15, 2022
Medicare Insider

This week's Medicare updates include the Spring 2022 Semiannual Report to Congress, an update for Not Otherwise Classified codes for NCDs, the July 2022 update of the Ambulatory Surgical Center Payment System, and more!

June 15, 2022
HIM Briefings

Modifier -JW is used to describe drug amounts that are discarded and not administered to any patient. Ensure this modifier is coded correctly by reviewing the rules for applying modifier -JW and tips for supporting compliance.

June 15, 2022
Case Management Monthly

Between 2 and 12 million people may have decided not to get vaccinated against COVID-19 due to misinformation they encountered about the shots. This statistic highlights a problem that many case managers have encountered firsthand when working with patients: medical misinformation and disinformation.

June 15, 2022
Briefings on HIPAA

 Rebecca Herold, CDPSE, FIP, CISSP, CIPM, CIPP/US, CIPT, CISM, CISA, FLMI, answers submitted questions on a variety of HIPAA topics.

June 8, 2022
Briefings on HIPAA

Jay Hodes, president of HIPAA compliance company Colington Consulting in Burke, Virginia, sees eight specific challenges organizations face when trying to comply with HIPAA regulations.

June 8, 2022
Case Management Monthly

For years, case management experts have been urging hospitals to capture the ICD-10-CM Z codes for social determinants of health SDoH. But the message doesn’t appear to be resonating.