News & Analysis

November 1, 2017
News & Insights

Q: What's the distinction between the case manager and non-lincensed case manager extender?

November 1, 2017
Medicare Insider

This week’s Medicare updates include the quarterly listing of program issuances, a fact sheet on the federal health exchange’s 2018 open enrollment period, revised instructions for certificate of medical necessity and durable medical equipment information forms, and more! 

November 1, 2017
Briefings on APCs

In July, Utah pain doctor Jahan Imani, MD, and Intermountain Medical Management, P.C., entered into a nearly $400,000 settlement with the OIG to resolve allegations that Imani’s practice submitted false or fraudulent claims due to improper modifier use for payment by improperly using modifier -59 with HCPCS code G0431.

October 30, 2017
Briefings on HIPAA

Tips from this month’s issue.

October 30, 2017
Briefings on HIPAA

This month's Q&A answers readers' questions about disclosing PHI and encryption.

October 27, 2017
Case Management Monthly

Tom, a 29-year-old, unemployed construction worker living on the East Coast, decides to drive on his own to the West Coast in hopes of finding a job. He avoids rest stops to decrease his total trip time. Halfway through his trip, he gets in a serious auto accident caused by another driver. The accident occurs in a state with mandated auto insurance.

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