News & Analysis

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. . 

December 4, 2017
Medicare Web

We found out after an observation patient was discharged that one of the procedures performed was an inpatient-only procedure. Can we bill this to Medicare without an official inpatient order on the medical record?

October 2, 2017
Case Management Monthly

Mrs. X, a 30-year-old pregnant mother of two with a supportive husband, is admitted to a Midwest rural hospital. She delivers the baby soon after, and the birth is uneventful.

September 22, 2017
Case Management Monthly

If you’re stressed out, you might be tempted to reach for a glass of wine or a carton of ice cream, but there are more positive ways to manage your stress. Below is a list of healthy strategies from the Centers for Disease Control and Prevention.

September 20, 2017
Medicare Web

Q: When should my case managers be screening the patients?