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May 16, 2019
Medicare Insider

This week's note from the instructor delves into an issue with inpatient-only procedures that may result from wording in the 2019 Inpatient Prospective Payment System (IPPS) final rule.  

May 21, 2019
Medicare Web

Researchers at the Regenstrief Institute and Indiana University have developed a new tool for providers to track and potentially identify the early onset of serious underlying issues relevant for multiple chronic conditions that may otherwise go undetected.

May 20, 2019
Briefings on HIPAA

Not all governance, risk management, and compliance (GRC) solutions are built the same. If you’re in the market for one and are working in the healthcare industry, check out ComplyAssistant.

May 20, 2019
Medicare Web

Q: Does this new policy apply to traditional Medicare only or does it also apply to Medicare Advantage?

May 20, 2019
Medicare Web

CMS finalized a rule on May 7 aimed at streamlining the Medicare appeals process by removing the signature requirement for appeal requests of Parts A and B claims and Part D prescription drug coverage determinations.

May 17, 2019
Medicare Web

According to a recent press release, the Department of Justice unsealed an indictment of two Chinese nationals for a hacking incident that resulted in one of the largest health data breaches of all time.

May 17, 2019
Case Management Monthly

Can a fast track system really improve care in the emergency department (ED) and move patients through the system more quickly? Authors of a recent study say, yes.

May 17, 2019
Medicare Web

Q: If our physician only documents “uncontrolled diabetes” in an admitted patient’s chart, but I can see from the lab results in the record that the patient’s blood glucose levels are high, can I go ahead and assign the ICD-10-CM code for diabetes with hyperglycemia?

May 16, 2019
Medicare Web

Q: I’m a registered nurse, and I received treatment at the ER of the hospital where I work. When I asked for a return-to-work note the next day, the physician told me that my supervisor called her the previous evening and asked if I had asked for the note. Is this a HIPAA violation?

May 16, 2019
Medicare Insider

This week's note from the instructor delves into an issue with inpatient-only procedures that may result from wording in the 2019 Inpatient Prospective Payment System (IPPS) final rule.  

May 15, 2019
Medicare Web

HHS failed to meet targeted improper payment reductions for Medicaid and the Children’s Health Insurance Program and has not implemented a required recovery audit plan for Medicare Advantage, according to an Office of Inspector General (OIG) report.

May 15, 2019
Medicare Web

Q: What is the best advice you can give for developing and managing a successful case management program?

May 15, 2019
Medicare Insider

This week’s Medicare updates include a new Home Health Change of Care Notice, a final rule regarding drug pricing transparency, new information on patient relationship categories and codes, and more!