News & Analysis

December 19, 2018
Medicare Insider

This week’s Medicare updates include a thorough list of alternative payment models that CMS currently operates, the 2019 update to clinical lab fee schedule, a revision to a transmittal regarding medical review of diagnostic lab tests, and more!  

December 19, 2018
News & Insights

Q: Who should the case management department report to?

December 19, 2018
News & Insights

Hospitals are allowed to publish a list of charges that contains UB-04 revenue codes when complying with 2019 IPPS final rule requirements requiring the publication of standard charges, the American Hospital Association (AHA) said in a regulatory advisory bulletin

December 18, 2018
News & Insights

The National Committee for Quality Assurance (NCQA) recently announced that it is launching two new population health management programs.

December 17, 2018
Briefings on HIPAA

2018 was a year of large settlements and high-volume data breaches. According to OCR’s breach report portal, among the more than 250 reported data breaches under investigation, 14 incidents exposed the PHI of more than 100,000 individuals each.

December 17, 2018
News & Insights

Q: I’m working with our contracting staff to negotiate with a new payer. Is there any potentially problematic contract language I should take under further review?

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