News & Analysis

January 15, 2020
Medicare Web

Q: Do you have advice for case managers following the recent implementation of CMS’ discharge planning rule?

January 15, 2020
Medicare Web

HHS’ Health Resources and Services Administration (HRSA) should step up oversight of hospitals participating in the 340B drug discount program, the U.S. Government Accountability Office (GAO) recommended in a recent report.

January 13, 2020
Medicare Web

Q: What is the process for submitting a claim for an inpatient hospitalization when our utilization review committee determined after discharge that the inpatient admission was not medically necessary?

January 10, 2020
Medicare Web

Q: Our coding department was told there were changes made for fiscal year (FY) 2020 when it comes to reporting healed/healing pressure ulcers and pressure-induced deep tissue damage. Can you explain any recent updates?

January 9, 2020
Medicare Insider

This week's note from the instructor reviews the prior authorization process that will be implemented for five categories of services in 2020. 

January 9, 2020
Medicare Web

Q: Do you have any suggestions for training physicians on HIPAA rules and regulations?

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