News & Analysis

August 2, 2023
Case Management Monthly

If it’s true that no news is good news, then the 2024 Outpatient Prospective Payment System (OPPS) proposed rule should make case managers very happy.

August 2, 2023
Briefings on HIPAA

The conclusion of the COVID-19 public health emergency has led to the termination of the Office for Civil Rights’ relaxed enforcement and providers are in the midst of a 90-day transition period back to full compliance with the HIPAA rules for telehealth.

August 2, 2023
HIM Briefings

Incorporating annual Current Procedural Terminology (CPT®) code updates is a core part of HIM maintenance. Apply these tips to ensure CPT code changes are correctly implemented and staff are kept in the loop.

July 26, 2023
HIM Briefings

Contract negotiations can make or break a hospital, because in addition to setting the price list for services provided to the insurer’s members, the negotiations also affect the resources that the provider expends to comply with the contract terms. Use this sample language as a template for your organization.

July 26, 2023
Medicare Insider

This week’s Medicare updates include additions to the OIG’s Work Plan, a request for information on an episode-based payment model, guidance on pre-entitlement billing, and more!

July 26, 2023
Case Management Monthly

Amanda, a surgical case manager, learns that her patient, Evan, lives in a region so remote that there are no home care services available.

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