News & Analysis

April 11, 2018
Medicare Web

What would be the ideal partnering model between social workers and nurse case managers in hospitals?

April 11, 2018
Medicare Insider

This week’s Medicare updates include a final rule on various policies throughout the Medicare program involving drug pricing, the final 2019 Medicare Advantage rate announcement and call letter, a list of newly added waived test codes, and more! 

April 11, 2018
Medicare Web

CMS reminded organizations to pay attention to billing and coding for specimen validity testing done in conjunction with drug testing. The agency reviewed recent code changes and billing guidelines for these lab tests in Special Edition MLN Matters 18001 released on March 29. CMS emphasized that providers that perform validity testing on urine specimens cannot separately bill the validity testing.

April 10, 2018
Medicare Web

CMS recently released its annual report of Health Insurance Exchange open enrollment, which revealed that open enrollment is down from 12.2 million in 2017 to 11.8 million for 2018.

April 9, 2018
Medicare Web

What strategies would you recommend for building an effective denials management team?

April 9, 2018
Briefings on HIPAA

When it comes to patients’ PHI, every little detail matters. Whether it’s the alignment of a preprinted mailer or installing antivirus software on your system, these details can make the difference in your health system’s security. Below are four recent security incidents that run the gamut in terms of technology involved, but all of which made the OCR breach report.

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