This week's note from the instructor explores the details of how CMS will establish rural emergency hospitals (REH) and discusses the elements of the Request for Information CMS issued on the topic.
This week's note from the instructor explores the details of how CMS will establish rural emergency hospitals (REH) and discusses the elements of the Request for Information CMS issued on the topic.
Identifying sepsis is a complex process that takes more thought than checking off clinical indicators from a list, regardless of what criteria are used to qualify the diagnosis. Apply these tips to identify clinical indicators of competing diagnoses.
This week’s Medicare updates include an extension to the rulemaking process for a final rule on the adjustment of civil monetary penalties for inflation, the recission of the mid-build exception audit determinations, implementation transmittals for two NCDs, and more!
This week’s Medicare updates include information on Hurricane Ida waivers and support, an updated emergency use authorization for bamlanivimab and etesevimab administered together, an OIG review of actions CMS can take to improve COVID-19 data from nursing homes, and more!
UnitedHealthcare recently transitioned its utilization management approach for all of its health plans from Milliman Care Guidelines to InterQual criteria. Learn how this change could have far-reaching impact on hospitals.
This week's note from the instructor discusses CMS' proposal in the CY 2022 OPPS proposed rule to reverse course on CY 2021 changes to the inpatient-only list and the ambulatory surgical center covered procedures list.
CMS walked back some major policy changes and cemented others in the 2022 Inpatient Prospective Payment System (IPPS) final rule. Brush up on the latest changes and ensure your hospital is ready to comply by October 1.
Audits are ramping up across the country, creating additional headaches for many healthcare organizations as they simultaneously struggle with the delta variant of COVID-19.
This week’s Medicare updates include an announcement on expanded payments for at-home COVID-19 vaccinations, dates for implementation of the Prior Authorization Model for Repetitive, Scheduled Non-Emergent Ambulance Transports nationwide, an OIG review of phlebotomy travel allowances, and more!
