News & Analysis

September 19, 2018
Medicare Insider

This week’s Medicare updates include CMS’ support for Hurricane Florence preparation, ICD-10 and other coding revisions to national coverage determinations, quarterly HCPCS drug/biological code changes, and more!

September 19, 2018
News & Insights

The Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction proposed rule would make significant changes to the Conditions of Participation and could change the way hospitals work with competitive ambulatory surgery centers (ASC).

September 18, 2018
News & Insights

The U.S. Senate passed its amendment to H.R. 6, the Opioid Crisis Response Act of 2018, on Monday in a 99-1 vote to address the United States’ ongoing opioid addiction epidemic.

September 17, 2018
Briefings on HIPAA

Although HIPAA laws do not specify any time frame on updating policies and procedures, OCR has expectations. Here are three recent settlements where OCR has included mandates to update policies and procedures. You can apply some of these lessons in your organization.

September 17, 2018
News & Insights

Q: What is a denial avoidance program and how does it differ from a denials management program?

September 14, 2018
Case Management Monthly

If your organization is part of a Medicare accountable care organization (ACO), changes may be on the horizon. CMS is proposing changes to the program that would require organizations to take on more financial risk and is giving it a new name, “Pathways to Success.”

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