News & Analysis

March 15, 2019
Case Management Monthly

The disappearing MLN Matters® on total knee arthroplasty is back. CMS reissued it on January 24 with fixes to some—but not all—of the problems in the initial version.

March 15, 2019
Medicare Web

Q: We had a patient with hemorrhagic cystitis. Our preprocedural plan was a cystoscopy with a bladder biopsy and cauterization. How should this be reported in ICD-10-PCS? We are having trouble choosing between Control or another root operation, and we are getting different MS-DRGs depending how the procedure is reported.

March 14, 2019
Medicare Insider

This week's note from the instructor uncovers a possible issue with the national jurisdiction of Noridian Healthcare Solutions as the sole Supplemental Medical Review Contractor (SMRC).

March 14, 2019
Medicare Web

Q: I recently filed a complaint against my insurance company. The insurance agent who handles my case informed my boss that I filed a complaint against her. Now my boss is mad at me, and I feel like my job is at risk. Is this a HIPAA violation?

March 13, 2019
HIM Briefings

Accurate and detailed medical documentation is critical for patient safety and to ensure payment for services rendered. Use these tips to keep clinical trials documentation compliant.

March 13, 2019
Medicare Web

Q: Do you have any advice for what to do when confronted with a duty-to-warn situation?

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