News & Analysis

March 30, 2018
Case Management Monthly

Joya is waiting at the airport in Norway for her plane to the U.S. when she makes a last-minute decision to purchase travel insurance. She reads the insurance policy and information and realizes it excludes preexisting conditions. Joya has an existing cardiac condition that she knows might void the policy, but she decides to be positive.

March 29, 2018
Medicare Web

​Q. My understanding is that HIPAA doesn’t mandate use of a specific security standard. Are we required to keep documentation explaining why we chose a particular security standard? I’ve also been told that we are required to encrypt data according to National Institute of Standards and Technology standards. Is this spelled out in the regulations?

March 29, 2018
Medicare Insider

This week's note examines a new Special Edition MLN Matters article, SE18002, and its impact on billing processes for OPPS providers with multiple service locations.

March 29, 2018
Medicare Web

Q: Our coding department doesn't have a standard query process. How can coders be sure whether an issue is worth querying?

March 28, 2018
HIM Briefings

Preventive care is an essential component of rural health clinic services, but Medicare's coverage and billing rules for these services—including annual exams and vaccines—can be complicated to navigate.

March 28, 2018
HIM Briefings

Many hospitals find that their Patient Safety Indicator (PSI) ratios remain high despite doing a spectacular job of addressing these events and exclusions. That may be because they fail to realize that the Agency for Healthcare Research and Quality has a risk-adjustment methodology that predicts each of these PSIs and is dependent upon the documentation and coding of PSI-sensitive risk factors.

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