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May 24, 2017
Medicare Insider

This week's note discusses the order and certification requirement for critical access hospitals (CAH), including the proposal in the FY 2018 IPPS proposed rule to reprioritize the review of CAH inpatient admissions.

May 26, 2017
Medicare Web

Q: How can discharge planners involve the quality improvement team in the discharge planning process?

 

May 26, 2017
Medicare Web

Two misdirected faxes cost a New York City hospital $387,200 in a HIPAA settlement.

May 26, 2017
Case Management Monthly

After a busy week, Gretchen, a manager of case management, is looking forward to the weekend. On Friday night she goes to bed early. By Saturday she still feels worn out, so she sets her cell phone on vibrate. All she needs, she thinks, is more time to recover and regain her energy for the upcoming week.

May 25, 2017
Medicare Web

Q. My facility offers telehealth services as an originating site. Is the distant site acting as a BA in these situations? Is my facility responsible for ensuring the distant site is in compliance with the Security Rule?

May 24, 2017
Medicare Insider

This week's note discusses the order and certification requirement for critical access hospitals (CAH), including the proposal in the FY 2018 IPPS proposed rule to reprioritize the review of CAH inpatient admissions.

May 24, 2017
HIM Briefings

When it comes to dealing with Medicare Recovery Auditors (RACs), there is never a dull moment for HIM professionals. Any shift in the RAC program quickly emerges as front-page news for HIM leaders.

May 24, 2017
Medicare Web

Q: We have trouble billing multiple units of injections and infusions that are done during observation stays and exceed the medically unlikely edits number. What is the correct way to bill these and get paid?

May 23, 2017
Medicare Insider

This week’s Medicare updates include a clarification of medical reviews of hospital claims for Part A payment, two new “K” codes for therapeutic continuous glucose monitors, The July 2017 quarterly HCPCS Drug/Biologicals code change update; and more!

May 23, 2017
Medicare Web

Cancer, infectious disease, and illness due to childbirth are on the rise. The National Academies of Sciences, Engineering, and Medicine (NASEM) highlighted these areas as key priorities for the U.S. in the May 15 report Global Health and the Future Role of the United States, which included insights from an NASEM ad hoc committee.

May 23, 2017
Medicare Web

Q: What are key questions to consider in the charge capture process?

May 22, 2017
Briefings on HIPAA

There are many questions out there about what a managed service provider (MSP) should do for covered entities and business associates. There are different flavors of MSPs out there; therefore, it’s important to think about what your MSP will do for you and how to spot an MSP that may not be a good fit for your organization.

May 19, 2017
Case Management Monthly

Working in case management for years has taught me to use the ABCs in at least two tasks I perform daily. Not only are the ABCs useful in developing patient discharge plans, but they also help in setting my daily caseload priorities. How do they work?