News & Analysis

August 4, 2021
Case Management Monthly

The government has brought numerous criminal cases against case managers for violating the Anti-Kickback Statute. Find out the details of these cases and how your organization can avoid violations.

August 4, 2021
Medicare Insider

This week’s Medicare updates include the FY 2022 Inpatient Psychiatric Facility Prospective Payment System (PPS) Final Rule, the FY 2022 Skilled Nursing Facility PPS Final Rule, the FY 2022 Inpatient Rehabilitation Facility PPS Final Rule, and more!

August 4, 2021
HIM Briefings

Hospital observation service codes are to be reported only for evaluation and management (E/M) services provided to patients who are admitted to observation. Review reporting and documentation guidelines to ensure accurate coding for these services.

August 1, 2021
Case Management Monthly

CMS’ Anti-Kickback Statute prohibits gifts in exchange for referrals. But in some cases, what qualifies as a gift might not be clear. In fact, some things that qualify might not be actual gifts at all.

August 1, 2021
Briefings on APCs

Our coding experts answer questions about CPT coding for diagnostic cardiac catherization and using modifier -TC (technical component).

August 1, 2021
Briefings on HIPAA

The agency responsible for setting the rules for healthcare IT compliance underwent its own audit by the Office of Inspector General (OIG) recently. See what auditors found and where HHS needs to improve. 

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