News & Analysis

February 21, 2017
Medicare Insider

This week's note is an excerpt from The Denials Management Training Handbook and discusses different types of claim denials.

February 20, 2017
Briefings on HIPAA

The HIPAA Security Rule isn't specific about the timing of training, but it includes awareness building, reminders, and specific topics that must be addressed. Education, training, and awareness building are critical to privacy and security compliance.

February 17, 2017
Case Management Monthly

As hospitals get ready to start notifying patients about their status under the requirements of the NOTICE Act using the MOON form, many still have questions about the process and the form itself. The NOTICE Act requires hospitals to provide a verbal and written notice (using the MOON form) of outpatient status to any patient who has been in observation for more than 24 hours. The hospital must provide notice to the patient within 36 hours of the start of the service, or at the time of discharge or inpatient admission. “The notice must be provided no later than 36 hours after observation services are initiated or, if sooner, upon release,” according to CMS.

February 17, 2017
Case Management Monthly

Discharge planning, which is integral to providing continuity of care, is a dynamic process. The steps of discharge planning sometimes occur in order, they sometimes overlap, and they sometimes move back and forth.

February 15, 2017
HIM Briefings

CMS continues to move Medicare payments from volume to value with new bundled payment models.

February 13, 2017
Medicare Insider

This week’s Medicare updates include Advance Care Planning implementation for OPPS claims, revision to State Operations Manual Appendix PP - incorporating revised Requirements of Participation for Medicare and Medicaid certified nursing facilities, and more!

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