News

An analysis of the impact of the three-night requirement for skilled nursing facility admission, wage index reform, and costs of recalled medical devices top the Office of Inspector General’s (OIG) list of top unimplemented recommendations.

Q: For an inpatient-only procedure, can the inpatient order be obtained the day after surgery, and if so, we are still allowed to bill as inpatient for the entire stay?

Clinical researchers at Johns Hopkins Hospital in Baltimore, Maryland, developed and tested a modified version of the Team Strategies and Tips to Enhance Performance and Patient Safety debriefing tool in a multidisciplinary urban emergency department (ED). They found that the tool was helpful in identifying safety threats and opportunities for performance improvement.

Q: Are there are metrics we can use to determine whether our clinical trials are financially successful?

The Revenue Integrity Symposium brings together so many aspects of revenue cycle management, compliance, and payer policies across settings.

Q: How do you report the delivery of twins using CPT codes?

Q: How can case managers better define and differentiate between a patient's capacity and a patient's competence?

CMS is extending its enforcement discretion period for its laboratory date of service (DOS) exception policy to January 2020.

Despite the presence of clear guidelines for ethics committees, these working groups vary considerably across institutions.

CMS proposed one mandatory and four voluntary alternative payment models (APM) for Medicare beneficiaries who receive treatment for chronic kidney disease and end-stage renal disease.