News & Analysis

July 10, 2017
Medicare Web

What is the connection between the list price on a chargemaster and net revenue?

July 7, 2017
Medicare Web

Anthem, Inc., an Indianapolis-based insurer, agreed to pay a record-setting $115 million to settle a class action lawsuit filed over a 2015 breach that affected 78.8 million individuals, Bloomberg

July 7, 2017
Medicare Web

Q: I am the coding manager for our inpatient coding department. I am wondering if I should create an audit plan to monitor new coders or difficult diagnosis. If so, is there anything specific I should consider when trying to implement a plan

July 7, 2017
Case Management Monthly

CMS auditors may start to look the other way when it comes to enforcing the 96-hour certification requirement this fall. That’s according to the 2018 proposed IPPS rule, which could be beneficial for critical access hospitals (CAH).

July 6, 2017
Medicare Insider

This week's note from the instructor discusses reporting revenue codes and HCPCS codes for rural health clinics. 

July 6, 2017
Medicare Web

Q. Can a third party such as a nursing home cancel or change a doctor’s appointment? Can a third party such as a nursing home cancel or change a doctor’s appointment without informing the patient? Are any of these HIPAA violations?

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