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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 30, 2017
Medicare Web

Two of the most significant healthcare gender disparities are related to follow-up care and alcohol/drug treatment, according to Gender Disparities In Health Care in Medicare Advantage, a report released by the CMS Office of Minority Health in April based on 2015 data.

May 30, 2017
Medicare Web

Q: What are some possible reasons a facility may consider making a change in reporting beside procedures?

 

May 29, 2017
Briefings on HIPAA

This month's HIPAA Q&A answers our readers' questions on requesting photo IDs, HEDIS requests, and releasing records to providers

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 26, 2017
Medicare Web

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

May 26, 2017
Medicare Web

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

 

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
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 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 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

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