News & Analysis

October 1, 2019
Briefings on APCs

As Medicare Advantage makes strides to becoming the new norm, organizations need to establish new processes, educate staff, and advocate for patients. Learn how your organization can keep pace with change before it’s too late to catch up.

September 25, 2019
Medicare Insider

This week’s Medicare updates include an OIG review of emergency ambulance transports from hospitals to skilled nursing facilities, revisions to the State Operations Manual regarding critical access hospitals adding provider-based locations, coding revisions for national coverage determinations, and more!

September 18, 2019
Medicare Insider

This week’s Medicare updates include an article for health care professionals to use as a resource throughout the 2019-20 flu season, an OIG data brief on using CERT data to identify high-risk home health agencies, revisions to the Claims Processing Manual regarding billing for Part B inpatient services, and more! 

September 13, 2019
Medicare Web

The Office for Civil Rights (OCR) reached a settlement with Bayfront Health St. Petersburg, a Florida hospital, for allegedly violating the HIPAA Privacy Rule’s right of access provision when it failed to give a mother timely access to her unborn child’s records, according to an OCR press release.

September 11, 2019
Medicare Web

Oceanside Medical Group, a clinic providing mental health services in Santa Monica, California, is disputing an Office of Inspector General (OIG) report that estimated the group received $2.6 million in overpayments for psychotherapy services by failing to comply with Medicare billing and documentation requirements.

September 11, 2019
Medicare Insider

This week’s Medicare updates include information on Hurricane Dorian waivers for Florida, the Carolinas, and Georgia; a final rule on provider enrollment changes aimed at minimizing the risk of fraudulent practices; the October update of the ambulatory surgical center payment system, and more!  

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