News & Analysis

June 5, 2024
Medicare Insider

This week’s Medicare updates include an OIG report on Medicare vulnerabilities related to off-the-shelf orthotic braces, a revised MLN Fact Sheet on swing bed services, and more!

June 14, 2023
Medicare Insider

This week’s Medicare updates include a revised fact sheet on Part D vaccines, billing guidelines for gender-specific services, a one-time change to the annual average 96-hour patient length of stay calculation for CAHs, and more!

March 8, 2023
Case Management Monthly

After multiple extensions, the COVID-19 public health emergency (PHE) is slated to end on May 11. This conclusion will likely bring discomfort to some patients and case managers.

October 19, 2022
HIM Briefings

Critical access hospitals (CAH) and rural health clinics (RHC) provide vital services to their communities, but even in the best of times they can face serious revenue challenges. Ensure these vital facilities are supported by correct, complete billing practices.

September 14, 2022
Case Management Monthly

CMS issued the final rules for the 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) on August 1 and, like the proposed 2023 OPPS proposed rule, there aren’t any big surprises this year.

September 7, 2022
Case Management Monthly

The 2023 OPPS proposed rule is out, and it includes some minor changes to the inpatient-only list and a proposal for a new type of hospital. CMS will now host a public comment period through September 13 before finalizing the rule in early November.