Two bundled payment programs could be canceled before they begin, and the scope of a third will be significantly limited if a proposed rule released by CMS August 17 is finalized.
Case managers today have many demands placed on them, from meeting patient needs to ensuring quality, reducing legal risks, and ensuring that care is efficient and cost-effective. In a new HCPro book, Case Management Models: Best Practices for Health Systems and ACOs, Second Edition, author Karen Zander, RN, MS, CMAC, FAAN, tackles numerous topics, focusing on how to structure case management models across the continuum of care.
The specificity of ICD-10 ushered in a stronger focus on clinical coding audits. From internal reviews to external coding audits, healthcare organizations nationwide are revisiting tried-and-true audit practices with ICD-10 coding quality in mind.
This week's Medicare updates include the 2018 Inpatient Psychiatric Facilities Prospective Payment System Update; Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization; Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS); and more!
Cyberattacks are growing more common and more devastating. Organizations without a clear plan of action could be left scrambling to mount a unified response—and running afoul of HIPAA.
