News & Analysis

December 4, 2018
Medicare Web

Geisinger Health System’s ProvenRecovery program, a population health initiative to combat opioid use after surgery, reduced the length hospital stays, saved $1.5 million, and contributed to an 18% reduction in opioid use across the organization since its pilot launched in June 2017.

December 3, 2018
Briefings on HIPAA

The HHS published its semiannual agenda in October, and some items on the list could mean changes for HIPAA.

December 3, 2018
Medicare Web

Q: Do we need to monitor Medicare's additional documentation requests (ADR) as part of our denials management program?

December 1, 2018
Briefings on APCs

Along with E/M changes for 2019 and beyond, the 2019 Medicare Physician Fee Schedule final rule contains a plethora of regulations impacting reimbursement, including new modifiers for therapists.

December 1, 2018
Briefings on APCs

Follow the steps a hospital should consider when submitting a redetermination request to a Recovery Auditor.

December 1, 2018
Briefings on APCs

Despite facing potential lawsuits and political opposition, CMS finalized some of its most controversial proposals in the 2019 OPPS final rule by implementing several site-neutral payment policies and 340B drug payment reductions.

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