News & Analysis

May 16, 2017
News & Insights

How can hospitals determine if a separate procedure exception applies for inpatient-only procedures?

May 16, 2017
Medicare Insider

This week’s Medicare updates include new CLIA waved tests, changes to the payment policies for Reciprocal Billing Arrangements and Fee-For-Time Compensation Arrangements (formerly “Locum Tenens Arrangements”), implementation of modifier -CG for Type of Bill 72x, and more!

May 16, 2017
News & Insights

Patients who participate in accountable care organizations (ACO) and care management teams may have fewer hospitalizations and ED visits and lower Medicare spending, according to a recent study in Health Affairs. Care management is a cornerstone of ACO interventions.

May 15, 2017
Briefings on HIPAA

Compiling the statistics for insider threats to patient privacy is easy. It’s the mitigation of these risks that takes time, strategy, and commitment. According to the January 2017 Protenus Breach Barometer, internal health system employees were responsible for 58.4% of breached patient data during January 2017.

May 12, 2017
News & Insights

What resources should case managers be familiar with when creating a discharge plan for postacute care following a surgical procedure?

May 12, 2017
Case Management Monthly

Let's look at one specific area where case managers can make a difference: reducing hospital-acquired anemia (HAA). This condition is often the result of blood draws performed cumulatively—and sometimes excessively—as part of laboratory testing.The prevalence of HAA can be exacerbated by another form of inappropriate medical care—in this case, laboratory tests. The goal is to ensure a patient only undergoes laboratory tests he or she truly needs.

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