News & Analysis

May 2, 2017
Medicare Web

CMS penalized more than half of hospitals participating in its Hospital Readmissions Reduction Program (HRRP) from fiscal year 2013 to 2017, according to a recent Health Affairs study. The average penalty increased from 0.29% in 2013 to 0.6% in 2017. Health Affairs referred to this as a modest penalty, bearing in mind that opportunities for penalization have increased since 2013.

May 2, 2017
Medicare Insider

This week’s Medicare updates include a MIPS Participation Status Letter, FY 2018 proposed rules for skilled nursing facilities and inpatient rehabilitation facilities, and more!

May 2, 2017
Medicare Insider

This week's note discusses rural health clinic off-site services that are provided to swing bed patients.

May 2, 2017
Medicare Web

Q: What are the requirements for using condition code 44?

May 1, 2017
Briefings on APCs

Our experts answer questions about reporting modifier -59 with knee arthroscopies, updates on skin substitute codes, and more. 

May 1, 2017
Briefings on HIPAA

The Substance Abuse and Mental Health Services Administration (SAMHSA) gave organizations and patients some relief from the stricter privacy rules protecting substance abuse and treatment information. But did SAMHSA really make the rule simpler, or will privacy and security officers find themselves grappling with a fresh set of complicated rules and exceptions?

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