News & Analysis

April 8, 2019
News & Insights

Q: How do Medically Unlikely Edits (MUE) apply to clinical trials claims?

April 5, 2019
Case Management Monthly

Only about half of hospital leaders and physician practice leaders think they are very or extremely effective when it comes to managing the chronic care needs of patients, and less than half think the same of their efforts to prevent hospital readmissions, according to a recent survey.

April 4, 2019
News & Insights

Q: An investigator from the state health department called the clinic where I work and asked for health records to collect vaccination data for a public health project. Is it a HIPAA violation to share that data?

April 4, 2019
Medicare Insider

This week's note from the instructor examines current Medicare coverage and standards for telehealth services. 

April 3, 2019
Medicare Insider

This week’s Medicare updates include a proposed decision memo for transcatheter aortic valve replacements, clarification on a transmittal regarding evaluation and management coding, an article on edits for OPPS providers with multiple service locations, and more!

April 3, 2019
News & Insights

The Government Accountability Office (GAO) recommended that CMS assess and strengthen documentation requirements and medical reviews to more effectively prevent improper payments.

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