News & Analysis

February 1, 2014
Case Management Monthly

When it comes to preventing readmissions, the focus tends to be on adult patients with adult conditions.

February 1, 2014
Case Management Monthly

If you're feeling a time crunch at work, you're not alone. Case managers are often juggling heavy case­loads and an increasing number of job responsibilities.

February 1, 2014
Strategies for Healthcare Compliance

by Jean S. Clark, RHIA, CSHA

 

February 1, 2014
Briefings on APCs

In the 2014 OPPS Final Rule, CMS offered the following -example for billing a laboratory test on the same date of service as the primary service, but ordered for a different purpose than the primar

February 1, 2014
Briefings on APCs

In addition to increased packaging and collapsing of E/M clinic visit level CPT® codes in the 2014 OPPS -Final Rule, CMS made additional changes that will have an immediate impact on reimbursement

February 1, 2014
Strategies for Healthcare Compliance

The majority of Recovery Auditor (RA) takebacks in the past year involved hospitals (88%) and physicians (5%), which isn’t surprising because of the volume of services they provide, says De

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