News & Analysis

March 1, 2013
Strategies for Healthcare Compliance

A former clinical director for Biscayne Milieu, a Miami-based mental health clinic, was sentenced to 100 months in prison for his participation in a Medicare fraud scheme involving the submission of more than $50 million in fraudulent billings to Medicare, announced the Assistant Attorney General, the U.S. Attorney of the Southern District of Florida, the FBI Miami Field Office, and the HHS-OIG Office of Investigations Miami Office in a press release.

March 1, 2013
Briefings on APCs

When coders hear the words "interventional radiology," many think of vascular procedures. However, interventional radiology encompasses additional, nonvascular procedures, such as nephrostomy tube placement and drainage of abscesses.

February 1, 2013
Case Management Monthly

Many organizations across the country have learned that patient care is more effective when providers work together. One means of accomplishing this goal is by performing patient rounds using teams that include a number of different practitioners, from physicians and nurses to case managers and pharmacists.

 

February 1, 2013
Case Management Monthly

Solid ­documentation is necessary not only to prove medical necessity, but also to help case managers better estimate LOS.

 

February 1, 2013
Case Management Monthly

If you're looking to prevent readmissions, focusing on your patients' lifestyles in addition to their health can help you make progress.

 

February 1, 2013
HIM Briefings

When HIM professionals at Driscoll Children's Hospital in Corpus Christi, Texas, looked into its success rate for physician response to coding queries, it knew it needed to do a better job.

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