August 2, 2023
Case Management Monthly

If it’s true that no news is good news, then the 2024 Outpatient Prospective Payment System (OPPS) proposed rule should make case managers very happy.

July 19, 2023
Case Management Monthly

Elizabeth Hogue, Esq., explains why it just got a little harder for the federal government to hold healthcare organizations liable under the False Claims Act.

May 24, 2023
Case Management Monthly

The Office of Management and Budget recently approved new versions of the Important Message from Medicare, Detailed Notice of Discharge, and Medicare Outpatient Observation Notice.

April 5, 2023
Case Management Monthly

Learn more about what will and will not change for certain patient services once the public health emergency (PHE) ends.

March 15, 2023
Briefings on APCs

Determine whether your facility needs to change E/M documentation habits and capture different details based on the revisions made by CMS to observation and inpatient reporting in the 2023 OPPS final rule.

February 1, 2023
Case Management Monthly

HHS recently released guidance on its new initiative aimed at helping states address unmet social needs and expand access to healthcare services.

December 14, 2022
Briefings on APCs

CMS confirmed in the 2023 Medicare Physician Fee Schedule final rule that it will adopt the framework of the revised AMA E/M guidelines, including payment based on medical decision-making (MDM) or time, effective January 1, 2023. Laura Evans, CPC, explains how the agency will diverge from the AMA on some points, however.

November 9, 2022
Briefings on HIPAA

The Office for Civil Rights (OCR) issued guidance on audio-only telehealth in June. This guidance provides helpful tips on how covered entities (CE) can use remote communication technologies to provide audio-only telehealth services in a manner consistent with HIPAA requirements.

December 1, 2021
Briefings on APCs

Joe Rivet, Esq., CCS-P, CPC, CEMC, CHC, CCEP, CHRC, CHPC, CICA, CPMA, CAC, CACO, writes about key regulatory updates in the 2022 Outpatient Prospective Payment System (OPPS) final rule, including increased price transparency penalties, changes to the inpatient-only list, and payment changes.

September 1, 2021
Case Management Monthly

Nonprofit hospitals are falling short when it comes to completing community needs assessments required under the Patient Protection and Affordable Care Act, according to an August research letter published by JAMA Network Open.

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