News & 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.  

Updates on the 2-midnight rule

March 1, 2014
Case Management Monthly

If your understanding of the 2-midnight rule is less than rock solid, you’re not alone.

Self-audits are critical for 2-midnight rule compliance

March 1, 2014
Case Management Monthly

Is your organization complying with the 2-midnight rule? Now is the time to conduct an internal audit and find out. If you don’t, a Medicare auditor may beat you to it.

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