News & Analysis

August 1, 2019
Case Management Monthly

Older adults are dying from falls in increasing numbers, according to a June 4 research letter published in JAMA. For reasons that aren’t yet clear, the number of adults age 75 and older who died from a fall rose from 8,613 in 2000 to 25,189 in 2016.

August 1, 2019
Briefings on APCs

Even if a hospital is not a teaching hospital, it may have services that require National Clinical Trial (NCT) reporting. It is logical for revenue integrity leadership to own this issue, but an explanation of the requirements for NCT reporting should be shared with all staff within the revenue cycle so there is a better appreciation of the fact that clinical trial billing rules apply more broadly than merely just to research or clinical trial studies.

July 31, 2019
HIM Briefings

Use this sample physician query form as a template for your organization.

July 31, 2019
Medicare Insider

This week’s Medicare updates include the July edition of the Quarterly Compliance Newsletter, a guide on how to use diagnosis codes to help identify unreported abuse or neglect, provider compliance tips regarding documentation for diabetic supplies, and more!

July 30, 2019
News & Insights

CMS released the 2020 OPPS proposed rule July 29, proposing to refine previous policies related to price transparency and the 2-midnight rule, while also asking for comments on how to potentially undo its policy that reduced payments for drugs purchased under the 340B drug discount program by nearly 30%.

July 30, 2019
News & Insights

Today, case managers and social workers have become cross-trained in many areas, creating ambiguity about the distinctive education they must use to support patients in different ways. A scoping exercise can serve as an objective way to determine team roles. 

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