News & Analysis

January 1, 2018
Briefings on APCs

CMS' 340B FAQ reviews modifiers -JG (drug or biological acquired with 340B drug pricing program discount) and -TB (drug or biological acquired with 340B drug pricing program discount, reported for informational purposes) and requires 340B hospitals to report modifiers even on drugs that are not subject to the discount policy.

January 1, 2018
Briefings on APCs

Our experts answer questions about open-ended queries, how many claims should result in queries, and more. 

December 29, 2017
Case Management Monthly

Jamie, a novice case manager with only three months of experience, just could not understand the concept of “seamless” as it applied to case management. She had attended her case management orientation with full attention and commitment, but she still couldn’t grasp the concept.

December 29, 2017
Case Management Monthly

Northern Arizona Healthcare in Flagstaff uses case management extenders to manage costs associated with its population health program. We thought it was worth a closer look at how these positions work and what these professionals can do within their organization. 

December 27, 2017
HIM Briefings

Coding experts take a look at changes to ICD-10-PCS, including guideline updates, the addition of “other devices” characters, and new tables added for root operation Replacement.

December 27, 2017
Medicare Insider

This week’s Medicare updates include a fact sheet on the 2018 EHR Incentive Program payment adjustment; transmittals regarding the January 2018 updates to the OPPS, ambulatory surgery center payment system, and physician fee schedule; a memo detailing three categories of sanctions for proficiency testing referrals; and more! 

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