News & Analysis

October 6, 2021
HIM Briefings

A pair of new rules require organizations to meet specific interoperability and patient access requirements but confusion about the rules and low awareness of the requirements hampers compliance efforts. Learn how your organization's compliance and implementation efforts compare to peers.

October 1, 2021
Briefings on APCs

Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, breaks down CPT coding for diagnostic services performed during the second and third trimesters, and provides an overview of an obstetric (OB) hospitalist's role in caring for high-risk maternity patients.

October 1, 2021
Case Management Monthly

In December 2020, CMS announced that it would begin a Review Choice Demonstration (RCD) for inpatient rehabilitation facility (IRF) services. The goal: to improve detection and identification of Medicare fraud related to these services.

October 1, 2021
Briefings on APCs

Several CPT modifiers have similar definitions, which can make distinguishing between them challenging. Review guidance for the appropriate application of modifier -51 versus -59 and discontinued service modifiers -52, -53, -73, and -74.

October 1, 2021
Case Management Monthly

Nonprofit hospitals are falling short when it comes to completing community needs assessments required under the Patient Protection and Affordable Care Act, according to an August research letter published by JAMA Network Open.

October 1, 2021
Briefings on HIPAA

H.R. 7898 became law on January 5, 2021, and amended the Health Information Technology for Economic and Clinical Health (HITECH) Act to require the secretary of HHS to consider certain recognized security practices of covered entities and business associates when making certain determinations, and for other purposes.

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