This week’s Medicare updates include an MLN Booklet on billing and payment policies for global surgery packages, a reminder on edit requirements for non-OPPS providers, new guidance on swing-bed requirements, and more!
As hospitals transform from volume-based to value-based reimbursement, the role and functions of the utilization review (UR) committee are evolving. Learn how to refocus UR and use it as a tool for success now and in the future.
Last month, Governor Brown of California signed bill AB 456 into law, which will remove some of the barriers in place that prevented social workers from providing services upon graduating with a master’s degree in social work.
HIPAA covered entities that maintain poor policies and procedures related to HIPAA compliance—those that are unfinished in draft form, not updated in years, and basically not followed to the letter—have cost them dearly.
Hospital administrators often look at case managers when a patient stay exceeds targets. Length of stay is seen as case management’s responsibility—even though the factors that extend patient stays are often out of their control.
