News & Analysis

July 3, 2019
HIM Briefings

HIM directors and managers at health systems report annual salaries that outpace those earned by their counterparts at hospitals and critical access hospitals.

July 3, 2019
News & Insights

Anne Arundel Medical Center in Annapolis, Maryland, will pay $3,154,000 to settle allegations that it submitted false claims to Medicare for medically unnecessary evaluation and management services and separately billing bundled procedures

July 3, 2019
News & Insights

Q: What are the best tools for case management to use to assess food insecurity?

July 2, 2019
News & Insights

A study published in the Journal of the American Geriatrics Society on June 12 suggests home-delivered meal programs could provide an alternative avenue for monitoring changes in older adult meal recipients’ health, safety, and well-being.

July 1, 2019
Briefings on APCs

CMS recently released two quarterly updates effective July 1: Medicare Claims Processing Transmittal 4313, which is the July update to the OPPS, and Medicare Claims Processing Transmittal 4314, which is the related July update to the Integrated Outpatient Code Editor (I/OCE) Specifications, Attachment B.

July 1, 2019
News & Insights

Q: Our utilization review (UR) committee originally took a more strictly peer review role but over time its scope and responsibilities have broadened. We're not sure that it still makes sense for the UR committee to be categorized as a subcommittee of the medical staff. What is the current recommended reporting structure for a UR committee?

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