News & Analysis

July 14, 2021
Medicare Insider

This week’s Medicare updates include the 2022 ESRD PPS Proposed Rule, two OIG advisory opinions, a proposed decision memo for an NCD on home oxygen, and more!

July 1, 2021
Case Management Monthly

June Stark, RN, BSN, MEd, examines the two types of nursing licenses and what challenges they introduce for case management directors.  

July 1, 2021
Briefings on HIPAA

The Office for Civil Rights (OCR) recently agreed to a settlement with a clinical laboratory over potential HIPAA Security Rule violations. Read about what led to the settlement and how your facility can avoid similar compliance risks.

July 1, 2021
Case Management Monthly

CMS announced another round of changes to its Bundled Payments for Care Improvement program recently and said that while participation thus far has been voluntary, it may become mandatory starting as early as 2024.

July 1, 2021
Case Management Monthly

A policy that UnitedHealthcare was poised to roll out that would have allowed it to retroactively deny ED claims isn’t moving forward yet. But that doesn’t mean case managers shouldn’t prepare for the payer, or others, to implement such policies.

June 30, 2021
Medicare Insider

This week’s Medicare updates include download files for the 2022 ICD-10-CM codes, the July 2021 update of the Ambulatory Surgical Center Payment System, revised guidance on emergency preparedness requirements, and more!

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