News & Analysis

July 1, 2019
Case Management Monthly

CMS recently announced a new category of payment programs: the Primary Cares Initiative. Within a few years, CMS expects 25% of primary care providers to join one of the five voluntary payment models.

July 1, 2019
Briefings on APCs

Our experts answer questions about billing for pre-admission testing, categorizing types of denials, and more.

July 1, 2019
Case Management Monthly

If you’re feeling drained and uninspired at work lately, you’re not alone. A survey published in the June 4 issue of Annals of Internal Medicine found that burnout among doctors costs the U.S. healthcare system some $4.6 billion each year due to turnover and reduced clinical hours.

July 1, 2019
Case Management Monthly

A hospital case manager tries to get a power wheelchair for her elderly father and runs into roadblocks along the way.

July 1, 2019
Briefings on APCs

ED physicians commonly treat fractures. A fracture can be the result of a traumatic injury, such as a fall, or may be pathologic (i.e., due to a disease process). In general, fractures can be classified as open or closed, displaced or nondisplaced.

July 1, 2019
Case Management Monthly

There are some changes to the Beneficiary and Family Centered Care-Quality Improvement Organization’s (BFCC-QIO) program, and if you’re one of the organizations affected by the changes, you may need to update your patient notices to reflect them.

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