News & Analysis

How would you score in an OIG security audit?

August 1, 2011
HIM Briefings

If patients were already concerned about healthcare organizations' ability to protect their information, a report released in May did nothing to alleviate their fears.

Is improper billing inflating your readmission rate?

August 1, 2011
Case Management Monthly

Hospitals may have a higher than expected readmission rate simply because they aren't properly billing cases that should be a leave of absence.

Decisions, decisions, decisions: Appealing denials, addressing interest, and making a case

August 1, 2011
HIM Briefings

Denied claims got you down? An upper-level appeal may be the answer.

Is your utilization review committee functional or fictional?

August 1, 2011
Case Management Monthly

Most facilities have a UR committee, but not all organizations have a fully functional UR committee.

Value-based purchasing puts new emphasis on quality and patient satisfaction

August 1, 2011
Case Management Monthly

Starting October 2012, Medicare will begin paying hospitals for quality measures, according to a CMS fact sheet released April 29.

How one healthcare system undertook a global HIPAA policy review; HITECH a good reason to start

August 1, 2011
Briefings on HIPAA

HITECH was the trigger for a global HIPAA policy review at North Shore-Long Island Jewish Health System (North Shore-LIJ) in Great Neck, NY. This was no easy task; North Shore-LIJ includes a medical school, a research institute, 15 hospitals, more than 200 ambulatory care centers, over 5,600 beds, and a total workforce of more than 42,000 employees.

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