News & Analysis

September 1, 2020
Briefings on APCs

CMS is moving forward for E/M changes for physician billing according to the 2021 Medicare Physician Fee Schedule. Read about those changes, as long as a preview of new CPT codes that will be added for 2021.

August 31, 2020
Briefings on HIPAA

As hospitals and health systems continue to learn about the growing number of security threats and their consequences, the role of the chief information security officer (CISO) has become more significant.

August 31, 2020
Medicare Web

Q: What are the recommended policies for a revenue integrity department?

August 28, 2020
Case Management Monthly

Case managers use a lot of lists. They use lists of nursing homes, lists of community organizations, and lists of other resources that are designed to help their patients.

But there are times when a list is not the best option, says Diane Iverson, RN, BSN, BS, ACM, CCM, a Baltimore-area case manager. For example, when case managers are working with individuals seeking assistance for substance use disorders, lists of resources may not be effective.

August 28, 2020
Case Management Monthly

Matty, an expert utilization review (UR) case manager, is shocked when she receives a letter denying payment for the entire hospital stay of Michael, who has recovered after falling severely ill with the novel coronavirus (COVID-19).

August 28, 2020
Medicare Web

Q: We have patients being admitted for novel coronavirus (COVID-19) and most of them have a laundry list of various manifestations and complications. Do all manifestations and complications need to be reported in ICD-10-CM?

Pages