News & Analysis

April 20, 2021
News & Insights

Cancer Treatment Centers of America and Midwestern Regional Medical Center (CTCA) based in Zion, Illinois, reported a breach last month potentially affecting 104,808 individuals, according to the Office for Civil Rights (OCR) breach report.

April 19, 2021
News & Insights

Q: We're looking for ways to bring our CDI and coding teams together to improve documenation and coding for appropriate Hierarchical Condition Categories (HCC) capture. Are there any recommended models and should other departments or individuals be working alongside them?

April 19, 2021
Briefings on HIPAA

Cybercrime is up in the healthcare industry, and it’s a good idea to make sure you’re ready to respond to cyber incidents. The key to speedy mitigation is to have a security incident response plan, test the plan, and make sure it works as you exercise it. Having a plan is also a HIPAA Security Rule requirement.

April 16, 2021
News & Insights

Q: Is it appropriate to report an E/M code for visit services provided in conjunction with a wound care procedure?

April 16, 2021
Case Management Monthly

Many case management and finance departments have been busy with appeal activities since CMS resumed its regulatory audits on August 3, 2020. Utilization review (UR) nurses are reporting increasing numbers of commercial denials as the coronavirus (COVID-19) pandemic is resolving.

April 15, 2021
Medicare Insider

This week's note from the instructor examines the effect of virtual communication on case managers during the COVID-19 public health emergency (PHE).

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