News & Analysis

January 12, 2015
Case Management Monthly

Each year the Office of Inspector General (OIG) outlines its enforcement priorities. Its 2015 Work Plan includes items case managers should have on their radar.

January 6, 2015
Medicare Insider

This week’s updates include solicitation of new safe harbor and special fraud alerts and changes to the Recovery Audit Program. Click the link above to read more about this week’s updates.

January 6, 2015
Medicare Insider

This week’s note is about changes in the RAC program. Click the link above for more information and an in-depth analysis.

January 1, 2015
HIM Briefings

For as long as I have been in the profession, HIM professionals have asked: How do we define who we are, and what is unique about what we do?

January 1, 2015
HIM Briefings

MRB asked HIM and release of information (ROI) professionals about their ROI practices for its first quarterly benchmarking survey of 2015. (The survey was completed in October 2014.) Half of survey respondents are HIM directors or managers (52%). Other respondents identified themselves as non-managerial HIM staff members (18%) or ROI directors or managers (4%). The majority of respondents (65%) work in hospitals.

January 1, 2015
Case Management Monthly

Preventing readmissions is a hot topic these days. CMS has imposed new financial penalties for organizations that don't successfully prevent 30-day readmissions for patients with certain medical conditions, and organizations are always looking for new strategies to ensure patients are successfully able to move to the next level of care.

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