News & Analysis

November 15, 2017
News & Insights

The acute kidney injury (AKI) dialysis payment rate is $232.37 for CY 2018, as updated by CMS in the 2018 End-Stage Renal Disease Prospective Payment System (ESRD PPS)

November 15, 2017
Medicare Insider

This week’s Medicare updates include new hospital appeals settlement options, revisions involving the addition and deletion of ICD-10-CM codes from certain NCDs, details on the partial settlement of a 2-Midnight policy court case, and more! 

November 13, 2017
News & Insights

A Comprehensive Error Rate Testing (CERT) study showed insufficient documentation causes most improper payments for arthroscopic rotator cuff repairs, according to the October 2017 Medicare Quarterly Compliance Newsletter.

November 13, 2017
Briefings on HIPAA

Too often, organizations fall for common HIPAA myths and erroneously incorporate them into otherwise sound, good-faith compliance efforts. That can lead to wasted time and resources, duplicative work, or even outright noncompliance.

November 13, 2017
News & Insights

How should facilities approach claim edits that must be made across departments, such as imaging and surgery?

November 10, 2017
Case Management Monthly

Sometimes it’s the condition of the caregiver, not the patient, that prompts a visit to the emergency department (ED). According to a study published in the Journal of the American Geriatrics Society, this problem is not only resulting in unnecessary ED visits, but in higher costs.

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