News & Analysis

January 27, 2020
News & Insights

Q: How do we bill for services when our utilization review (UR) team determines postdischarge that an inpatient admission was not medically necessary? Are these services billed as outpatient or inpatient?

January 22, 2020
News & Insights

The 340B drug discount program does not appear to incentivize hospitals to use more expensive drugs, according a Medicare Payment Advisory Commission (MedPAC) report presented at its January 17 meeting.

January 22, 2020
Medicare Insider

This week’s Medicare updates include a new addition to the OIG work plan, the January edition of the Medicare Quarterly Compliance Newsletter, the January 2020 update to the Outpatient Prospective Payment System, and more!

January 20, 2020
News & Insights

Q: It's been recommended that we develop a chargemaster maintenance team. What departments and roles should be part of this team? Who should lead it?

January 15, 2020
News & Insights

HHS’ Health Resources and Services Administration (HRSA) should step up oversight of hospitals participating in the 340B drug discount program, the U.S. Government Accountability Office (GAO) recommended in a recent report.

January 15, 2020
Medicare Insider

This week’s Medicare updates include a Special Edition MLN Matters article on appropriate use criteria changes, updates to beneficiary notice forms, a beta version of an ICD-10-CM browsing tool, and more!

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