News & Analysis

November 7, 2017
Medicare Web

The American Case Management Association announced November 6 that it has established the Association of Physician Leadership in Care Management to help reach physician leaders who are in roles that support case management.

November 6, 2017
Briefings on HIPAA

Email is a routine and essential part of communication in healthcare—even when communicating PHI. But setting and enforcing HIPAA-compliant email policies continues to be tricky for many organizations.

November 6, 2017
Medicare Web

What is the recommended timeframe for applying edits to a claim?

November 3, 2017
Case Management Monthly

A new effort is underway to allow observation stays to count toward the three-day stay required by CMS to qualify for reimbursement for a postacute skilled nursing facility stay.

November 3, 2017
Medicare Web

Q: How would you code elevated troponin due to demand ischemia?

November 2, 2017
Medicare Insider

This week's note reviews pre-service coverage analysis processes in light of the recent CMS decision to delegate the target, probe, and educate medical review strategy to the Medicare Administrative Contractors. 

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