News & Analysis

October 1, 2021
Case Management Monthly

In December 2020, CMS announced that it would begin a Review Choice Demonstration (RCD) for inpatient rehabilitation facility (IRF) services. The goal: to improve detection and identification of Medicare fraud related to these services.

October 1, 2021
Case Management Monthly

CMS finalizing plans to remove the inpatient-only list, only to propose a reversal less than a year later, has introduced challenges for case managers.

October 1, 2021
Case Management Monthly

Follow a case manager who faces challenges working to coordinate care on another continent.

October 1, 2021
Case Management Monthly

Nonprofit hospitals are falling short when it comes to completing community needs assessments required under the Patient Protection and Affordable Care Act, according to an August research letter published by JAMA Network Open.

October 1, 2021
Briefings on APCs

ICD-10-CM coding for neuropathies can be challenging given the complexity of these diagnoses and associated complications. Demystify documentation requirements and ICD-10-CM coding for ischemic and hemorrhagic strokes, migraine headaches, and paralysis.

October 1, 2021
Briefings on APCs

Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, breaks down CPT coding for diagnostic services performed during the second and third trimesters, and provides an overview of an obstetric (OB) hospitalist's role in caring for high-risk maternity patients.

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