News & Analysis

April 2, 2018
Briefings on HIPAA

There were two buzz phrases in the air at the 2018 Healthcare Information Management Systems Society Health IT Conference (HIMSS18): artificial intelligence and machine learning. While these initiatives have great potential in terms of analytics, the data can be difficult to interpret.

April 1, 2018
Briefings on APCs

Our experts answer questions about responding to PTP edits, charging for drug administration that crosses midnight, and more.

April 1, 2018
Briefings on APCs

The shift from fee-for-service to value-based programs for outpatient payment systems has increased the need for outpatient CDI staff to review documentation for pertinent clinical factors.

April 1, 2018
Briefings on APCs

With the expansion of telehealth services, providers for both the originating site and distant site can also count on the expansion of Medicare contractor audits.

April 1, 2018
Briefings on APCs

Providers should be preparing for another rulemaking cycle from CMS as we hit April, with the IPPS rule expected to include a discussion on how the existing payment system can address new and emerging cellular and gene therapies.

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.

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