News & Analysis

February 27, 2019
News & Insights

Community Hospital in Munster, Indiana, is disputing an Office of Inspector General (OIG) report that found DRG assignment errors and incorrect inpatient rehabilitation facility (IRF) claims, resulting in an projected $22,051,602 in overpayments.

February 27, 2019
Medicare Insider

This week’s Medicare updates include an OIG review of skilled nursing facility services and the three-day inpatient hospital stay requirement; the release of the 2019 hospital OPPS two times run document; a transmittal about new HCPCS codes subject to and excluded from CLIA edits; and more!

February 26, 2019
News & Insights

The American Hospital Association (AHA) has launched its 2019 Innovation Challenge, which focusses this year on using technology to address the social determinants of health and connect people with resources to address community health needs.

February 25, 2019
News & Insights

Q: Can we correct and resubmit a claim denied before payment as we do claims that are sent back with a pre-payment rejection?

February 25, 2019
Briefings on HIPAA

In this month's HIPAA Q&A, our expert answers questions on medical record requests, health insurance exchanges, fines when there has been no breach of PHI, and mandatory encryption.  

February 22, 2019
Case Management Monthly

Research has shown that untreated depression in hospitalized patients may affect patient outcomes, including recovery and the likelihood of readmission after discharge. Screening for depression can help spot the problem and help patients get needed treatment.

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