News & Analysis

Provider documentation critical for correctly billing 2014 observation changes

July 1, 2014
Briefings on APCs

Documentation and billing for observation stays has come under increased scrutiny from the OIG, though many hospitals have struggled with changing regulations and frequently updated guidance.

Note from the instructor: AHA files two lawsuits related to the 2-midnight rule; Still a rule in turmoil

May 6, 2014
Medicare Insider

This week’s note is about AHA lawsuits related to 2-midnight rule. Click the link above for more information and an in-depth analysis.  

The evolving role of the UR committee

May 1, 2014
Strategies for Healthcare Compliance

The role of the utilization review (UR) committee has changed as facilities transition from reporting condition code 44 for concurrent reviews to condition code W2 for post-discharge reviews.

Note from the instructor: As the healthcare world turns...

April 1, 2014
Medicare Insider

Click the link above for more information and an in-depth analysis.  

UR committees need to update policies and procedures to provide proper oversight

April 1, 2014
Case Management Monthly

There is still a lot of confusion over CMS' 2-midnight rule and the processes surrounding inpatient versus observation services decisions.

Note from the instructor: Update on laboratory billing: new 2-midnight guidance

March 11, 2014
Medicare Insider

Click the link above for more information and an in-depth analysis.  

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