News & Analysis

August 1, 2019
Case Management Monthly

The most important means of identifying and documenting social determinants of health (SDoH) is establishing a strong patient screening program. Recording codes for SDoHs in the medical record can be time-consuming, so streamlining your screening process can make this job less arduous and more accurate.

August 1, 2019
Briefings on HIPAA

OCR in 2013, through the Health Information Technology for Economic and Clinical Health (HITECH) Ac,t issued a final rule identifying provisions of the HIPAA rules that apply directly to business associates (BA) and those provisions for which BAs are directly liable.

August 1, 2019
Briefings on APCs

Even if a hospital is not a teaching hospital, it may have services that require National Clinical Trial (NCT) reporting. It is logical for revenue integrity leadership to own this issue, but an explanation of the requirements for NCT reporting should be shared with all staff within the revenue cycle so there is a better appreciation of the fact that clinical trial billing rules apply more broadly than merely just to research or clinical trial studies.

August 1, 2019
Briefings on HIPAA

HIPAA security officers arguably have more on their plates now than ever before as the cloud and mobile era are fully upon us and potential cybercriminal access to PHI increases,

August 1, 2019
Medicare Insider

This week's note from the instructor checks in on the current status of the 340B court case in light of CMS' request for comments in the 2020 OPPS proposed rule on ways to remedy the 340B reimbursement adjustments. 

August 1, 2019
Case Management Monthly

The field of case management is rapidly evolving as hospital leaders look to case managers to help them meet a host of new regulatory requirements and financial goals. But too often this has put undue pressure on case managers and taken focus off their most important job—coordinating care.

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