News & Analysis

December 1, 2013
Case Management Monthly

Last month, CMM outlined the new CMS 2014 inpatient prospective payment system (IPPS) guidelines, which revised inpatient admission standards (see correction on p. 4). This month we're going to offer some tips to assist you to help physicians document accurately, and inform you about some other changes that will affect the way case managers do business when it comes to meeting the new standard.

 

December 1, 2013
Briefings on APCs

During the January injections and infusions audio conference, Jugna Shah, MPH, president and founder of Nimitt Consulting in Washington, D.C., and Valerie A. Rinkle, MPA, associate director with Navigant Consulting in Seattle, reviewed these scenarios.

December 1, 2013
Strategies for Healthcare Compliance

The September 23 compliance deadline for most of the provisions of the HIPAA omnibus rule has come and gone. But for covered entities (CE) and business associates (BA), now is not the time to take your foot off the gas pedal.

December 1, 2013
Strategies for Healthcare Compliance

It's a brave new world out there for business ­associates (BA). BAs needed to comply with the HIPAA Security Rule and the use and disclosure provisions of the Privacy Rule in February 2010 as a result of the ­HITECH Act. However, the OCR held off on any enforcement activities-that is, until recently.

December 1, 2013
Strategies for Healthcare Compliance

Every healthcare organization should develop and implement a policy and a well-defined process that provides guidance for managing incident and breach response.

December 1, 2013
Briefings on APCs

Healthcare providers are used to regularly changing guidelines and regulations that drastically alter their processes for coding and billing. Despite few guideline changes since 2008, drug administration still frequently causes confusion because of all the necessary factors to properly document, code, and bill the services.

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