News & Analysis

February 9, 2018
Case Management Monthly

CMS announced a new voluntary bundled payment model in January called Bundled Payments for Care Improvement Advanced (BPCI Advanced). Bundled payments, like the ones established by BPCI Advanced, are designed to act as a carrot for healthcare organizations by offering them financial incentives to improve patient outcomes, better coordinate patient care, and rein in spending

February 8, 2018
Medicare Insider

This week's note reviews changes to the clinical lab date of service policy initiated by the 2018 Outpatient Prospective Payment System. 

February 7, 2018
News & Insights

CMS recently released guidance on submitting claims and filing appeals as it rolls out its new Medicare cards. The new cards will replace the Health Insurance Claim Number, which is based on the beneficiary’s Social Security Number (SSN), with a Medicare Beneficiary Identifier that is not tied to the beneficiary’s SSN.

February 7, 2018
Medicare Insider

This week’s Medicare updates include new skilled nursing facility advance beneficiary notice forms, the 2019 Advanced Notice for Medicare Advantage and Part D plan changes, quarterly HCPCS drug/biological code changes, and more! 

February 5, 2018
News & Insights

How does Medicare cover hospital outpatient diagnostic services furnished in a provider-based department?

February 2, 2018
Case Management Monthly

At the start of 2018, it’s time to take stock of billing compliance risks that may affect your organization in the new year and patch potential holes before they become a problem.

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