Now that the fourth quarter has arrived, things are winding down for 2022. This is a good time to reflect on the past year of HIPAA compliance and prepare for 2023. Here is a roundup of HIPAA topics and some actionable tips for compliance.
The 2023 Inpatient Prospective Payment System (IPPS) final rule includes a welcome payment rate increase, coding updates, and adjustments to quality and reporting programs. Review the major provisions of the rule to ensure your organization is in compliance.
Directors are searching for solutions to the healthcare staffing shortage. Could one of them involve changing your leadership style to boost outcome achievement?
This week’s Medicare updates include new items added to the OIG Work Plan, an extension for certain payment rate adjustments for low volume and Medicare dependent hospitals, and more!
Jessie, a nurse case manager, feels healthcare has changed since the beginning of the pandemic. She believes that the greatest change comes from the recent initiation of new healthcare coverage plans, primarily Medicaid managed care and Medicare Advantage.
The variety of sources for commercial insurance requirements can present challenges to the utilization review (UR) specialist, as UR rules for every patient could differ depending on his or her insurance and that insurer’s policies. Apply these lessons to help UR manage commercial insurance requirements.
