News & Analysis

Complex case: Overcoming challenges with an end-stage renal failure patient

August 31, 2024
Case Management Monthly

Follow along as a case manager helps secure coverage for a patient with end-stage renal disease.

Director’s desk: Addressing behavioral healthcare quality

August 28, 2024
Case Management Monthly

Case managers should familiarize themselves with CMS' behavioral health policies to ensure they continue to provide high-quality patient care.

MACs reveal 8 mistakes that still endanger your office E/M revenue

August 28, 2024
Briefings on APCs

Protect your office/outpatient E/M claims from front-end denials and post-payment recoupments with the freshest information from Medicare administrative contractors (MAC).

Denial strategies for medical necessity, clinical validation, and DRG downgrades

August 28, 2024
HIM Briefings

Review up-to-date prevention and management strategies for three common types of denials.

This week in Medicare—8/28/2024

August 28, 2024
Medicare Insider

This week’s Medicare updates include a favorable OIG Advisory Opinion, revised coding guidance for NCD 110.23, and more!

Seven strategies to improve staff evaluations

August 21, 2024
Case Management Monthly

Marianne DiMola, president and co-founder of Global Care Management, offers seven tips to turn staff evaluations into a more effective improvement tool.

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