News & Analysis

September 6, 2023
Case Management Monthly

The 2024 Inpatient Prospective Payment System (IPPS) final rule, released August 1, contains some good news for hospitals related to potential payment for certain social determinants of health.

September 6, 2023
Medicare Insider

This week’s Medicare updates include an OIG featured topic page regarding managed care, the first 10 Part D drugs selected for price negotiation under the Inflation Reduction Act, and more!

August 30, 2023
Case Management Monthly

Kelly, a cardiac case manager, must coordinate a patient's discharge and difficult transfer plan.

August 30, 2023
HIM Briefings

Medical necessity is a term used to describe the need and justification for services a patient will receive, including diagnostic studies or therapeutic treatment. Understand how Medicare defines the term and what requirements must be met.

August 30, 2023
Medicare Insider

This week’s Medicare updates include information on systematic validation edits for OPPS providers with multiple service locations, draft guidance on the new Medicare Prescription Payment Plan, and more!

August 23, 2023
HIM Briefings

The CDI educator role is dynamic, evolving to fit the ever-changing landscape of coding and CDI. Consider these tips to help ensure your CDI educators are meeting current needs.

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