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April 26, 2017
Medicare Insider

This week's note from the instructor discusses the newly released 2018 IPPS proposed rule.

April 28, 2017
Case Management Monthly

Nancy is a manager of a hospital with a large indigent population. Nancy notes that immediately after the implementation of healthcare reform, many of her patients have obtained some form of health insurance, usually Medicaid. Often, the patients access Medicaid with the help of the hospital’s expert financial counselors. Recently, however, the number of uninsured patients in the community seems to be increasing. As a result, more uninsured patients are being admitted. Before healthcare reform, many uninsured people failed to seek timely, preventive healthcare. Therefore, they were quite sick by the time they came to a hospital. Nancy is now seeing a resurgence of uninsured indigent patients.

April 28, 2017
Medicare Web

The Center for Children’s Digestive Health (CCDH), an Illinois clinic group, dished out $31,000 in a HIPAA settlement with HHS due to a lack of a business associate agreement (BAA) with a vendor, the Office for Civil Rights (OCR) announced April 20.

April 28, 2017
Medicare Web

Should physicians write an order for a specific postacute care provider, such as a home health agency or skilled nursing facility?

April 27, 2017
Medicare Web

Q. Does HIPAA permit us to inform callers or visitors of a patient's location in the hospital and condition although this information is not typically in the facility directory?

April 26, 2017
Medicare Insider

This week's note from the instructor discusses the newly released 2018 IPPS proposed rule.

April 26, 2017
HIM Briefings

With the challenges and sometimes-abundant negativity everywhere we look, we can forget the privileges of a certification or degree in HIM. Take a moment to remind yourself of the reasons you're proud to be an HIM professional.

April 26, 2017
HIM Briefings

James S. Kennedy, MD, CCS, CDIP, CCDS, discusses DSM-5 and ICD-10-CM terminology for drug and alcohol use, abuse, and dependency.

April 26, 2017
Medicare Web

Q: We have started receiving rejections for claims with HCPCS code C1842 (retinal prosthesis, includes all internal and external components). We provide the service with the retinal implant and are confused why it's getting rejected.

April 26, 2017
HIM Briefings

Effective July 2016, as part of The Joint Commission’s Project REFRESH, the Medical Record Statistics form was retired for hospital accreditation surveys. Is it still important to monitor our medical records for presence, timeliness, legibility (paper or printed), accuracy, authentication, and completeness?

April 25, 2017
Medicare Web

A recent study revealed good news for hospitals taking advantage of one or more Medicare value-based reforms. Participation in Medicare programs that focus on improving quality and value of care can often lead to a larger reduction in 30-day readmissions, according to JAMA Internal Medicine.

April 25, 2017
Medicare Insider

This week’s Medicare updates includes new information on payment for moderate sedation services, influenza virus vaccine code implementation, new K codes for therapeutic continuous glucose monitors, and more!

April 25, 2017
Medicare Web

If my hospital submits an appeal to a payer and the payer upholds the denial, what next steps can we consider?