News & Analysis

November 1, 2019
Case Management Monthly

The U.S. healthcare system wastes some $760 billion to $935 billion dollars each year, says a recent study published in the Journal of the American Medical Association, and between $27.2 billion and $78.2 billion of that total is the result of failures in care coordination.

November 1, 2019
Briefings on APCs

In today’s virtual environment, with its focus on flexible schedules, organizing the coding function requires consideration of time zones, team member skills, volume of work, and claim-processing schedules.

November 1, 2019
Case Management Monthly

Four years after they were proposed, CMS has finalized a series of discharge planning changes that went into effect on October 29. The final rule, called Revisions to Discharge Planning Requirements [CMS-3317-F], imposes a number of new requirements—ranging from how to notify patients about their choice in postacute providers to prioritizing patient preferences when developing discharge plans and treatment goals.

November 1, 2019
Case Management Monthly

The 2020 IPPS final rule is out, and CMS has opted not to allow organizations to code homelessness as a complication or comorbidity (CC) under ICD-10-CM code Z59.0.

November 1, 2019
Briefings on APCs

Our experts answer questions about coding drugs infused through the same line, reporting labor and delivery in outpatient hospitals, and more.

November 1, 2019
Medicare Web

Q: How do we bill for items provided to a patient participating in a clinical trial that are not listed on the billing intention?

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