July 10, 2019
News & Insights

Q: Are there any extra considerations case managers should take into account when helping care for a patient who is an immigrant? 

July 10, 2019
News & Insights

Accountable care organizations (ACO) avoid downside risk contracts even though the number of ACO contracts and ACOs with multiple contracts have grown, according to a recent study. The study authors suggest that stronger incentives to take on downside risk are necessary to ensure the success of the ACO model.

July 9, 2019
News & Insights

A new study suggests a stress-associated neurobiological pathway might link lower socioeconomic status to a higher risk of major adverse cardiac events, a finding which may allow providers to target early intervention treatments to at-risk patients.

July 8, 2019
News & Insights

CMS released MLN Matters SE19007 on June 28, announcing that it completed round three testing of the activation of systematic validation edits for OPPS providers with multiple service locations. To allow enough time to analyze collected data, the agency is postponing implementation of the edits until October.

July 8, 2019
News & Insights

Q: What are Medicare's criteria for reopening a claim as opposed to treating it as a denial?

July 3, 2019
News & Insights

Anne Arundel Medical Center in Annapolis, Maryland, will pay $3,154,000 to settle allegations that it submitted false claims to Medicare for medically unnecessary evaluation and management services and separately billing bundled procedures

July 3, 2019
News & Insights

Q: What are the best tools for case management to use to assess food insecurity?

July 3, 2019
Medicare Insider

This week’s Medicare updates include a policy clarification regarding negative wound therapy, an executive order on price transparency, and more! 

July 2, 2019
News & Insights

A study published in the Journal of the American Geriatrics Society on June 12 suggests home-delivered meal programs could provide an alternative avenue for monitoring changes in older adult meal recipients’ health, safety, and well-being.

July 1, 2019
News & Insights

CMS recently agreed to settle an ongoing dispute with inpatient rehabilitation facilities (IRF) over the backlog of denied Medicare claims.

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