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. 

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,

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
News & Insights

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%.

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