News & Analysis

August 1, 2018
Briefings on APCs

CMS’ 2019 OPPS proposed rule, released in late July, continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to reduce reimbursement for hospital outpatient clinic visits at off-campus, provider-based departments.

August 1, 2018
Briefings on APCs

Back in January, I wrote an article regarding E/M codes and the need for changes to the 1995 and 1997 E/M documentation guidelines. In that article, I suggested making E/M codes for office visits solely time-based to simplify the reporting of these very subjective codes. Little did I know that this is what CMS would propose months later.

July 31, 2018
News & Insights

The most important aspect to remember about psychiatric patients in the ED is to help them and their families (if present) feel safe.

July 30, 2018
News & Insights

CMS did not propose any new comprehensive APCs (C-APC) last year, taking a rare year off, but it did introduced three new C-APCs in the 2019 OPPS proposed rule, released in late July.

July 30, 2018
Briefings on HIPAA

Your organization does not have to look far to see how important it is for your business associates (BA) to comply with HIPAA. Take a glance at the OCR website for breaches involving 500 or more patients. BAs are regularly involved in these breaches along with covered entities (CE). However, the bad press almost always goes to the CEs.

July 30, 2018
News & Insights

What role should health information management play in the edit management process?

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