News & Analysis

January 12, 2015
Case Management Monthly

After physicians treat them in the emergency department (ED), millions of patients each year head home to recover, but not all of them do so successfully. Many wind up needing to head right back to the hospital because something goes wrong and the discharge fails. The Agency for Healthcare Research and Quality (AHRQ) recently partnered with the Johns Hopkins University Armstrong Institute for Patient Safety and Quality to study this issue.

January 6, 2015
Medicare Insider

This week’s updates include solicitation of new safe harbor and special fraud alerts and changes to the Recovery Audit Program. Click the link above to read more about this week’s updates.

January 6, 2015
Medicare Insider

This week’s note is about changes in the RAC program. Click the link above for more information and an in-depth analysis.

January 1, 2015
Case Management Monthly

Case managers rejoice. CMS recently sounded what is being called the death knell of the 2-midnight rule certification in a final rule published in the November 10, 2014, Federal Register.

 

January 1, 2015
Case Management Monthly

Preventing readmissions is a hot topic these days. CMS has imposed new financial penalties for organizations that don't successfully prevent 30-day readmissions for patients with certain medical conditions, and organizations are always looking for new strategies to ensure patients are successfully able to move to the next level of care.

January 1, 2015
HIM Briefings

MRB asked HIM and release of information (ROI) professionals about their ROI practices for its first quarterly benchmarking survey of 2015. (The survey was completed in October 2014.) Half of survey respondents are HIM directors or managers (52%). Other respondents identified themselves as non-managerial HIM staff members (18%) or ROI directors or managers (4%). The majority of respondents (65%) work in hospitals.

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