News & Analysis

April 1, 2018
Briefings on APCs

Our experts answer questions about responding to PTP edits, charging for drug administration that crosses midnight, and more.

April 1, 2018
Briefings on APCs

With the expansion of telehealth services, providers for both the originating site and distant site can also count on the expansion of Medicare contractor audits.

April 1, 2018
Briefings on APCs

The shift from fee-for-service to value-based programs for outpatient payment systems has increased the need for outpatient CDI staff to review documentation for pertinent clinical factors.

March 30, 2018
News & Insights

Using EHRs to share laboratory results with other hospitals within a system is associated with significant reductions in heart failure and pneumonia mortality scores, according to a study in The American Journal of Managed Care. Results showed a statistical significance of a .24 reduction in pneumonia mortality scores and a .19 reduction in patient heart failure.

March 30, 2018
Case Management Monthly

Joya is waiting at the airport in Norway for her plane to the U.S. when she makes a last-minute decision to purchase travel insurance. She reads the insurance policy and information and realizes it excludes preexisting conditions. Joya has an existing cardiac condition that she knows might void the policy, but she decides to be positive.

March 29, 2018
News & Insights

​Q. My understanding is that HIPAA doesn’t mandate use of a specific security standard. Are we required to keep documentation explaining why we chose a particular security standard? I’ve also been told that we are required to encrypt data according to National Institute of Standards and Technology standards. Is this spelled out in the regulations?

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