News & Analysis

October 3, 2018
Medicare Web

By Ralph Wuebker, MD, MBA

The healthcare revenue cycle is changing at break neck speed. Staying up to date on CMS regulations as well as overall payer trends is critical in this time. The National Association of Healthcare Revenue Integrity’s 2018 Revenue Integrity Symposium is one of the best conferences for unbiased education on essential healthcare revenue cycle and revenue integrity topics.

September 12, 2018
HIM Briefings

As hospitals transform from volume-based to value-based reimbursement, the role and functions of the utilization review (UR) committee are evolving. Learn how to refocus UR and use it as a tool for success now and in the future.

April 23, 2018
Medicare Web

Under what circumstances would it be appropriate for a patient who does not meet inpatient criteria to be registered as outpatient receiving observation services?

February 1, 2018
Medicare Insider

This week's note clarifies the rules, regulations, and provider considerations to take into accounting following CMS' decision to remove total knee arthroplasty from the inpatient-only list. 

January 19, 2018
Case Management Monthly

The 2-midnight rule was designed to simplify decisions on whether to order inpatient or outpatient observation services for patients and to reduce the volume of observation cases. However, some hospitals and healthcare systems have reported that the rule has actually increased confusion around level of care, without lowering observation volumes.

December 21, 2017
Medicare Insider

This week's note provides an overview of the eligibility, scope of coverage, effective dates, premiums, and cost-sharing amount policies under the four parts of Medicare. .