News & Analysis

November 1, 2013
Case Management Monthly

If you're looking to reduce your readmissions-and let's face it, who isn't these days?-it may be time to take some tips from organizations that have had success.

November 1, 2013
Case Management Monthly

High-risk Medicaid patients who received transitional support after hospital discharge were 20% less likely to wind up back in the hospital during the following year, according to a new study.

November 1, 2013
Case Management Monthly

By now you've probably gotten a good look at the 2014 IPPS Final Rule changes to the inpatient admission guidelines, which CMS released in ­August. It's time to put these changes into practice.

November 1, 2013
Strategies for Healthcare Compliance

The HIPAA omnibus rule has changed the game when it comes to business associates (BA).

November 1, 2013
Briefings on APCs

Coders select E/M levels based on criteria developed by their organization. CMS has proposed a significant change to E/M coding-replacing the current 20 E/M levels for new patients, existing patients, and ED visits with three G codes-but that change would only apply to Medicare patients and only to the facility side.

November 1, 2013
Briefings on APCs

With some major changes in look and form-but generally adhering to existing guidelines-coding for neoplasms serves as a microcosm of the changes providers will face when the transition to ICD-10-CM occurs October 1, 2014.

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