News & Analysis

August 21, 2020
Case Management Monthly

Case management directors and utilization review (UR) case managers beware! In a Frequently Asked Questions (FAQ) document released in July, CMS said it expects to discontinue enforcement discretion for Medicare fee-for-service medical reviews beginning August 3, regardless of the status of the public health emergency (PHE).

August 20, 2020
Medicare Insider

This week's note from the instructor discusses the devastating impact of COVID-19 on skilled nursing and long-term care faciltiies, and it examines ways the federal government is assisting these facilties via regulatory and financial support. 

August 20, 2020
Medicare Web

Q: If researchers want to obtain PHI for a person who died of COVID-19, what is the protocol for releasing that information? What are the HIPAA protections?

August 19, 2020
Medicare Insider

This week’s Medicare updates include a new payment model from the Innovation Center, a proposed decision memo regarding changes to two NCDs, information on the Advisory Panel on Hospital Outpatient Payment meeting, and more!

August 19, 2020
Medicare Web

Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1.

August 19, 2020
HIM Briefings

Take a closer look at recent Coding Clinic information on coding COVID-19, including ICD-10-CM coding for COVID-19 antibody testing, virus signs and symptoms, and comorbidities.

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