News & Analysis

December 1, 2019
Case Management Monthly

Is your hospital doing enough to manage patients with diabetes both in the hospital and when they transition to the next level or care or to home? A recent survey of more than 600 people in 408 U.S. hospitals, finds that some hospitals might be falling short.

December 1, 2019
Case Management Monthly

The government is starting a trial program in the District of Columbia that aims to improve treatment for Medicaid beneficiaries struggling with serious mental illness or substance use disorders.

December 1, 2019
Briefings on HIPAA

When voluntary disclosure for overpayments is an option rather than an obligation, the provider may encounter diverse opinions among its decision-makers. Some may express a desire to bring the potential problem to the attention of the government and attempt to resolve the matter quickly without incurring criminal penalties, civil fines, or exclusions.

December 1, 2019
Briefings on APCs

CPT reporting for surgical heart procedures requires an in-depth understanding of cardiovascular anatomy and terminology. This article reviews CPT reporting for procedures involving cardiac pacemakers and implantable cardioverter-defibrillators based on key details in provider documentation.

November 27, 2019
HIM Briefings

Use this sample cover letter as a template for rebilled accounts.

November 27, 2019
Medicare Insider

This week’s Medicare updates include a variety of new initiatives aimed toward improved safety and quality at nursing homes, updated fact sheets on opt-in and voluntary reporting procedures for MIPS, a comment request on an information collection regarding the MOON, and more!

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