News & Analysis

August 2, 2019
News & Insights

U.S. District Court Judge Michael H. Simon issued preliminary approval on July 29 of an agreement that would require Premera Blue Cross to pay $74 million to settle a class-action lawsuit resulting from a 2015 data breach.

August 2, 2019
News & Insights

The January 1, 2020, deadline for reporting Appropriate Use Criteria (AUC) for advanced diagnostic imaging is fast approaching—but organizations can’t wait until the new year to prepare.

August 1, 2019
Medicare Insider

This week's note from the instructor checks in on the current status of the 340B court case in light of CMS' request for comments in the 2020 OPPS proposed rule on ways to remedy the 340B reimbursement adjustments. 

August 1, 2019
Briefings on APCs

Behavioral health is a highly specialized area of coding that many coders and billers are unfamiliar with. There are hundreds of ICD-10-CM codes for mental disorders with unique characters to specify symptoms and complications.

August 1, 2019
Case Management Monthly

The field of case management is rapidly evolving as hospital leaders look to case managers to help them meet a host of new regulatory requirements and financial goals. But too often this has put undue pressure on case managers and taken focus off their most important job—coordinating care.

August 1, 2019
Briefings on HIPAA

OCR in 2013, through the Health Information Technology for Economic and Clinical Health (HITECH) Ac,t issued a final rule identifying provisions of the HIPAA rules that apply directly to business associates (BA) and those provisions for which BAs are directly liable.

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