News & Analysis

February 24, 2017
Case Management Monthly

Ever since Pat became a nurse case manager three years ago, both family and friends have reached out to her for healthcare advice. She really doesn’t mind and almost expects it, especially since healthcare can be complex and challenging. By sharing her knowledge as a case manager, Pat can often help people navigate healthcare complexities.

February 22, 2017
HIM Briefings

Probably the most onerous duty physicians have is the preparation of the inpatient discharge summary, especially after a long or complicated hospital stay.

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 21, 2017
Medicare Insider

This week’s Medicare updates include the delay of the effective date of the Advancing Care Coordination Through Episode Payment Models; Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model; a quarterly update to the Medicare Physician Fee Schedule database; ICD-10 coding revisions to National Coverage Determinations; and more!

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.

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