News & Analysis

April 4, 2017
Medicare Insider

This week's note from the instructor discusses several changes regarding inpatient-only procedures that might have flown under the radar for some hospitals.

April 3, 2017
Briefings on HIPAA

The Office for Civil Rights (OCR) is planning to implement a regulation that would share HIPAA settlements and monetary penalties with individuals affected by breaches.

April 3, 2017
Medicare Insider

This week’s Medicare updates include an announcement regarding enforcement discretion on clinical laboratory data reporting; a new OIG resource guide for measuring compliance program effectiveness; a memorandum regarding the final rule adjusting Civil Monetary Penalties for inflation; and more!

April 1, 2017
Briefings on APCs

The 2017 calendar year marks the beginning of a new approach to physician payment through the Quality Payment Program (QPP), an initiative created by the Medicare Access and CHIP Reauthorization Act to revise the physician payment system previously updated through the Sustainable Growth Rate.

April 1, 2017
Briefings on APCs

Medicare recently published revisions to its appeals process, focusing on the Administrative Law Judge level of appeal. 

April 1, 2017
Briefings on APCs

Our experts answer questions about hitting MUEs on injections and infusions, setting multiple prices for the same CPT codes, payment rates for cancer centers, and more. 

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