News & Analysis

May 19, 2017
Case Management Monthly

Working in case management for years has taught me to use the ABCs in at least two tasks I perform daily. Not only are the ABCs useful in developing patient discharge plans, but they also help in setting my daily caseload priorities. How do they work?

May 19, 2017
News & Insights

Should a discharge planner know the average length of stay (ALOS) for specific Medicare severity diagnosis-related groups (MS-DRG)?

May 19, 2017
News & Insights

A ransomware attack launched May 12 crippled systems around the world and raised questions about the healthcare industry’s ability to withstand a massive cyberattack.

May 18, 2017
News & Insights

Q: Is a covered entity required to see a copy of a business associate’s risk management and security plan? Do we need to have a copy of this in our files?

May 17, 2017
HIM Briefings

Reimbursement for provider-based departments (PBD) can be complex, and regulations affecting it have changed frequently over the past year. Section 603 of the Bipartisan Budget Act of 2015, the 2017 outpatient prospective payment system (OPPS) final rule, and the 21st Century Cures Act changed the payment methodology and made multiple adjustments to the definition of excepted (on-campus or grandfathered off-campus) and non-excepted (off-campus) PBDs. Hospitals must know the regulations inside and out and understand how they apply to their PBDs and to avoid denials or noncompliance.

May 17, 2017
Medicare Insider

This week's note from the instructor discusses some frequently asked questions and resources related to provider-based departments, including off-campus departments.

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