News & Analysis

October 1, 2015
Case Management Monthly

Compliance with the 2-midnight rule has been tricky for many organizations?and things aren't expected to get easier anytime soon. The 2016 OPPS proposed rule may bring some additional tweaks to the 2-midnight rule (see related story, "Proposed OPPS rule suggests tweaksto 2-midnight rule," in the September issue of CMM), and education and enforcement may change hands from Recovery Auditors to Quality Improvement Organizations.

October 1, 2015
Case Management Monthly

Today's nurses have more demands on them than ever, with high patient loads and an increasing number of tasks to complete. Often, this increases the likelihood that certain aspects of care may be missed?whether it's needed education on insulin injections that weren't provided before discharge or a patient who develops a pressure ulcer because he or she wasn't turned often enough.

October 1, 2015
Briefings on APCs

Heart disease is the most common cause of death for both men and women in the U.S., according to the Centers for Disease Control and Prevention (CDC). The most common type is coronary artery disease (CAD), which can lead to heart attacks, heart failure, angina, and arrhythmias, according to the CDC. 

October 1, 2015
Briefings on APCs

When a patient suffers a traumatic injury or poisoning, we need to report how they became injured and where they were when it happened. You already know this from ICD-9-CM.

October 1, 2015
Briefings on APCs

Because CMS has not created any national ED E/M guidelines, providers must create their own criteria for each visit level.

October 1, 2015
Briefings on APCs

Use this 10-question quiz to determine how well you understand common medical prefixes and suffixes.

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