News & Analysis

August 9, 2017
Medicare Insider

This week's Medicare updates include an update to the Revisions to the Inpatient Prospective Payment System; Prospective Payment System (PPS) and Consolidated Billing for Skilled Nursing Facilities (SNF) for 2018; Provider-Based (PB) Determination; and more!

May 24, 2017
HIM Briefings

When it comes to dealing with Medicare Recovery Auditors (RACs), there is never a dull moment for HIM professionals. Any shift in the RAC program quickly emerges as front-page news for HIM leaders.

May 8, 2017
Medicare Insider

This week’s Medicare updates include the April 2017 Medicare Quarterly Provider Compliance Newsletter, scribe services signature requirements, outlier limitation on OPPS Community Mental Health Centers Services, and more!

January 17, 2017
Medicare Insider

This week's note from the instructor discusses the future of Recovery Auditor reviews and the latest information from CMS as discussed during the recent Hospital Open Door Forum.

January 1, 2017
Briefings on APCs

Managers should not assume that they can review every guideline, every item in Coding Clinic, or every coding-related issue targeted by the Office of Inspector General or Recovery Auditor. 

December 13, 2016
Medicare Insider

This week’s Medicare updates include the final Medicare Outpatient Observation Notice (MOON), a CY 2017 Update to the DMEPOS fee schedule, information on the CJR Model Skilled SNF 3-Day Rule Waiver, and more!