News & Analysis

December 6, 2023
Briefings on APCs

The 2024 OPPS final rule details changes to price transparency compliance, reimbursement changes and, updates to numerous other hospital programs. Additionally, CMS is moving forward with its proposals to address unlawful payment reductions to 340B drug reimbursement.

December 6, 2023
Case Management Monthly

Tiffany Ferguson, LMSW, CMAC, ACM, CEO of Phoenix Medical Management, gives advice on two common ethical scenarios in case management.

November 29, 2023
Case Management Monthly

Follow the story of Daniel, a novice case manager, who helps coordinate care for his patient as he navigates benefits for legal immigrants.

November 29, 2023
HIM Briefings

Healthcare organizations often house the release of information (ROI) function within the HIM department. However, ROI programs may exist in other departments such as radiology, clinics, home health, and patient financial services. Consider the benefits of different models for various organization types.

November 29, 2023
Medicare Insider

This week’s Medicare updates include a repository for hospital price transparency resources, clarification on the monthly facility amount and provider reporting period for rural emergency hospitals, and more!

November 22, 2023
HIM Briefings

Acute kidney injury (AKI) is a sudden decrease in kidney function that can have serious consequences. Follow these tips to ensure accurate clinical validation and coding for AKI for effective patient care and appropriate reimbursement.

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