News & Analysis

November 6, 2017
News & Insights

What is the recommended timeframe for applying edits to a claim?

November 6, 2017
Briefings on HIPAA

Email is a routine and essential part of communication in healthcare—even when communicating PHI. But setting and enforcing HIPAA-compliant email policies continues to be tricky for many organizations.

November 3, 2017
Case Management Monthly

A new effort is underway to allow observation stays to count toward the three-day stay required by CMS to qualify for reimbursement for a postacute skilled nursing facility stay.

November 2, 2017
Medicare Insider

This week's note reviews pre-service coverage analysis processes in light of the recent CMS decision to delegate the target, probe, and educate medical review strategy to the Medicare Administrative Contractors. 

November 1, 2017
News & Insights

Q: What's the distinction between the case manager and non-lincensed case manager extender?

November 1, 2017
Briefings on APCs

Our experts answer questions about diagnostic service coverage in hospitals, coding multi-part procedures, and more.

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