News & Analysis

April 7, 2015
Medicare Insider

This week’s updates include removal of multiple NCDs and the quarterly update to the CCI edits. Click the link above to read more about this week’s updates.

April 7, 2015
Medicare Insider

This week’s note is about MLN Matters’ recent “Preventative Services” Educational Tool. Click the link above for more information and an in-depth analysis. 

April 1, 2015
Briefings on HIPAA

Hackers gained unauthorized access to the information technology system of Anthem, Inc., and exposed the PHI of more than 80 million people who are currently or were previously covered by the insurance provider. The attack also exposed the PHI of Anthem's employees, including President and Chief Executive Officer Joseph R. Swedish.

April 1, 2015
HIM Briefings

At HCPro's Accreditation Specialist Boot Camp, we continue to receive questions about standing orders, protocols, and verbal/telephone orders. With spring on its way by the time this article is published, I thought a fresh look at these topics would be in order (no pun intended). Let's try to dispel the myths and go straight to what the regulations say and what is best practice to meet them.

April 1, 2015
Case Management Monthly

If your department is looking for a new case manager, the stakes can be high. Hiring the wrong person can result in lost time, money, and productivity. Find the right fit the first time by following some simple strategies that help you move past the candidate's paper persona and get a better picture of how he or she will perform in a real-life setting.

April 1, 2015
Case Management Monthly

This January, CMS expanded its readmissions prevention program, adding two more procedures to its list of conditions for which hospitals can be penalized if patients with the conditions are readmitted to the hospital within 30 days of discharge. To prevent these readmissions, hospitals and case managers need to understand the factors that drive them.

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