News & Analysis

Complex case: Overcoming challenges with an end-stage renal failure patient

August 31, 2024
Case Management Monthly

Follow along as a case manager helps secure coverage for a patient with end-stage renal disease.

This week in Medicare—8/28/2024

August 28, 2024
Medicare Insider

This week’s Medicare updates include a favorable OIG Advisory Opinion, revised coding guidance for NCD 110.23, and more!

MACs reveal 8 mistakes that still endanger your office E/M revenue

August 28, 2024
Briefings on APCs

Protect your office/outpatient E/M claims from front-end denials and post-payment recoupments with the freshest information from Medicare administrative contractors (MAC).

Denial strategies for medical necessity, clinical validation, and DRG downgrades

August 28, 2024
HIM Briefings

Review up-to-date prevention and management strategies for three common types of denials.

Director’s desk: Addressing behavioral healthcare quality

August 28, 2024
Case Management Monthly

Case managers should familiarize themselves with CMS' behavioral health policies to ensure they continue to provide high-quality patient care.

Best of the best HIPAA Q&A from the past year

August 21, 2024
Briefings on HIPAA

We've compiled the most popular questions and answers from the past year in the area of HIPAA compliance and healthcare data security. Below are the top five questions and answers, featuring insights from experts Rebecca Herold, CDPSE, FIP, CISSP, CIPM, CIPP/US, CIPT, CISM, CISA, FLMI, CEO of Privacy & Security Brainiacs SaaS services, and Julia Huddleston, CIPP/US, CIPM, CCSFP, a principal from Apgar & Associates.

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