News & Analysis

March 1, 2019
Briefings on APCs

In the 2018 OPPS final rule, CMS removed total knee arthroplasty (TKA) from the inpatient-only (IPO) list effective January 1, 2018. Although some guidance was provided at the time, providers and physicians alike were left confused with a significant number of questions regarding documentation and inpatient status

March 1, 2019
Briefings on APCs

Many outpatient CDI professionals stepped into their roles blind—not knowing where to begin or how to tell if they were successful. However, as programs mature, they need to be able to track their progress for a number of reasons, including focusing physician education and justifying continued funding from organizational leadership.

March 1, 2019
News & Insights

University of Washington Medicine in Washington state is notifying 974,000 patients about a data breach which left their health information exposed online for weeks. This follows a recent breach announced by the University of Connecticut Health which affected 326,629 individuals in December.

March 1, 2019
Briefings on APCs

Our experts answer questions about reporting E/M services along with drug administration, dealing with pre-payment denials, and more.  

February 28, 2019
Medicare Insider

This week's note from the instructor explores the new codes for the post discharge home visit waiver included in the April 2019 update of the Medicare Physician Fee Schedule. 

February 28, 2019
Case Management Monthly

A case manager returns to work at the start of the new year only to find that two of his patients’ commercial insurances had implemented new discharge planning and utilization review rules effective January 1.

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