News & Analysis

February 13, 2017
Briefings on HIPAA

HIPAA privacy and security professionals work hard to create commonsense policies and procedures and lobby for the best technical safeguards for their organizations. But time and again that hard work is wiped out by the most persistent threat of all: insider threat.

February 13, 2017
Medicare Insider

This week's note from the instructor discusses the billing challenges presented by CMS' Medically Unlikely Edits.

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!

February 10, 2017
Medicare Web

Do you have any recommendations as to who is best suited to fill out the Medicare Outpatient Observation Notice? Why?

February 10, 2017
Case Management Monthly

Looking to get an ACM™ certification? In December, the American Case Management Association (ACMA) and National Board for Case Management (NBCM) announced a change to the exam eligibility requirements that may be of interest to those looking to earn ACM certification. The NBCM now allows applicants with at least one year of full-time supervised work experience to sit for the ACM-RN (Registered Nurse) and ACM-SW (Social Work) exams. Prior to this change, candidates had to have at least two years of case management experience before they could take either exam.

February 9, 2017
Briefings on APCs

With a new year underway, providers likely need to get a handle on some key new modifiers, as well as important changes to an existing modifier and the deletion of a modifier that previously raised a lot of questions and operational concerns. 

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