News & Analysis

August 3, 2018
Case Management Monthly

Some patients seem resistant to interventions aimed at helping them avoid preventable hospital visits. These so-called high utilizers typically have multiple chronic conditions, along with social or psychological conditions and/or substance use issues that can interfere with effective care. AbsoluteCARE, an ambulatory ICU, was created for these patients.

August 3, 2018
News & Insights

HHS is planning to reform HIPAA and 42 CFR Part 2 in an effort to improve care coordination. In remarks to the Heritage Foundation July 26, HHS Secretary Alex Azar conveyed that HHS is starting a review of regulations that interfere with coordination among doctors, hospitals, and payers.

August 2, 2018
News & Insights

Q: Is texting an acceptable way to communicate with a patient? Do we need to ask the patient to sign a form with a statement to the effect that they prefer that we text information on test results, etc., rather than leave a voicemail asking them to call?

August 2, 2018
Medicare Insider

This week's note discusses ways the HIM department and coding team can assist in edit and denials management to improve revenue cycle processes. 

August 1, 2018
Briefings on APCs

CMS’ 2019 OPPS proposed rule, released in late July, continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to reduce reimbursement for hospital outpatient clinic visits at off-campus, provider-based departments.

August 1, 2018
Briefings on APCs

Back in January, I wrote an article regarding E/M codes and the need for changes to the 1995 and 1997 E/M documentation guidelines. In that article, I suggested making E/M codes for office visits solely time-based to simplify the reporting of these very subjective codes. Little did I know that this is what CMS would propose months later.

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