News & Analysis

September 1, 2021
Case Management Monthly

Audits are ramping up across the country, creating additional headaches for many healthcare organizations as they simultaneously struggle with the delta variant of COVID-19.

July 1, 2021
Case Management Monthly

CMS announced another round of changes to its Bundled Payments for Care Improvement program recently and said that while participation thus far has been voluntary, it may become mandatory starting as early as 2024.

June 23, 2021
HIM Briefings

Audit results should be packaged to be meaningful and easy to follow. Apply these tips to create audit packages that providers will get the most out of.

June 1, 2021
Case Management Monthly

June Stark, RN, BSN, MEd, writes about how critical thinking skills can help case managers solve complex situations and reduce lengths of stay.

June 1, 2021
Briefings on APCs

Joe Rivet, Esq., CCS-P, CPC, CEMC, CPMA, CICA, CHRC, CHPC, CHEP, CHC, CICA, CAC, CACO, looks at the implications of a recent OIG brief on how Medicare Advantage organizations could use national provider identifiers (NPI) to monitor for fraud, waste, and abuse. 

June 1, 2021
Case Management Monthly

Ensuring patients are being treated with the right level of care helps facilities allocate resources appropriately and keeps costs lower for patients and health systems.

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