News & Analysis

February 6, 2019
HIM Briefings

Learn how to emphasize the clinical value of the documentation and establish policies and training that support medically and legally sound notes while making the best use of physicians’ time.

February 5, 2019
News & Insights

Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions, and the total cost of limited health literacy to the U.S. healthcare system is estimated at $50–73 billion.

February 4, 2019
News & Insights

Q: What type of claims edit data should we capturing and reviewing as part of denials management?

February 4, 2019
Briefings on HIPAA

In recent months, OCR has expressed concern that providers and other covered entities may be reluctant to inform and involve the loved ones of individuals facing health crises like opioid use disorder for fear of violating HIPAA. Here, we look at some common misconceptions about privacy under HIPAA and point to the information that patients and families need to know.

February 1, 2019
Briefings on APCs

Modifier -JW is used to describe drug amounts that are discarded and not administered to any patient. This does not reduce the payment for the drugs, so this is an informational modifier, but it is a mandatory modifier.

February 1, 2019
Case Management Monthly

On January 8, CMS released MLN Matters SE19002 on status determinations for total knee arthroplasty, which included guidance on how to determine proper status for patients undergoing the procedure, but CMS quickly rescinded it and announced that it is making revisions and will reissue it in the near future.

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