News & Analysis

December 18, 2018
Medicare Web

The National Committee for Quality Assurance (NCQA) recently announced that it is launching two new population health management programs.

December 17, 2018
Briefings on HIPAA

2018 was a year of large settlements and high-volume data breaches. According to OCR’s breach report portal, among the more than 250 reported data breaches under investigation, 14 incidents exposed the PHI of more than 100,000 individuals each.

December 17, 2018
Medicare Web

Q: I’m working with our contracting staff to negotiate with a new payer. Is there any potentially problematic contract language I should take under further review?

December 14, 2018
Case Management Monthly

If you’re involved in utilization review and have found yourself in the uncomfortable position of having to tell a doctor that a patient doesn’t meet criteria for an inpatient stay, you may want to consider different ways to approach these conversations.

December 14, 2018
Medicare Web

Q: Can an ICD-10-CM body mass index (BMI) code be used as a standalone code? If not, what documentation should we look for to justify the use of a BMI code?

December 13, 2018
Medicare Insider

This week's note from the instructor is the first in a two-part series on the 2019 changes to coverage and payment rules for rural health clinics. 

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