News & Analysis

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. 

July 31, 2019
Medicare Insider

This week’s Medicare updates include the July edition of the Quarterly Compliance Newsletter, a guide on how to use diagnosis codes to help identify unreported abuse or neglect, provider compliance tips regarding documentation for diabetic supplies, and more!

July 31, 2019
HIM Briefings

Use this sample physician query form as a template for your organization.

July 30, 2019
Medicare Web

Today, case managers and social workers have become cross-trained in many areas, creating ambiguity about the distinctive education they must use to support patients in different ways. A scoping exercise can serve as an objective way to determine team roles. 

July 30, 2019
Medicare Web

CMS released the 2020 OPPS proposed rule July 29, proposing to refine previous policies related to price transparency and the 2-midnight rule, while also asking for comments on how to potentially undo its policy that reduced payments for drugs purchased under the 340B drug discount program by nearly 30%.

July 29, 2019
Medicare Web

Q: For an inpatient-only procedure, can the inpatient order be obtained the day after surgery, and if so, we are still allowed to bill as inpatient for the entire stay?

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