News & Analysis

December 1, 2016
Briefings on HIPAA

It’s been a challenging year for HIPAA compliance. OCR levied more than $20 million in breach settlement fines. Ransomware rocked the healthcare industry.

December 1, 2016
Briefings on APCs

Each year, CMS reviews procedures on the inpatient-only list, which consists of services typically provided on inpatients and not payable under the OPPS, to consider whether they are being performed safely and consistently in outpatient departments. 

December 1, 2016
Briefings on APCs

As it does each year, CMS reviewed its packaging policies and proposed numerous modifications for 2017, finalizing a move to conditionally package at the claim level and deleting the controversial modifier used to identify separately reportable laboratory tests. 

December 1, 2016
Briefings on APCs

Our experts answer questions related to ICD-10-CM weeks of gestation coding, determing covered observation services, and more. 

December 1, 2016
HIM Briefings

Most healthcare systems already have a proven process in place to monitor revenue integrity and ensure correct reimbursement. Beyond the day-to-day revenue cycle staff involved in revenue integrity, more than 60% of hospital executives believe revenue integrity is essential to their organization’s financial stability and sustainability, according to a survey by Craneware, Inc.

November 30, 2016
Medicare Insider

This week’s note discusses updates to Medicare beneficiary cost sharing for 2017.

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