March 28, 2019
News & Insights

Q: What is the difference between "consent" and "authorization" under the HIPAA Privacy Rule?

March 26, 2019
News & Insights

Case managers face countless challenges when dealing with end-of-life care, and with less than 50% of Medicare beneficiaries utilizing hospice programming, changes had to be made.

March 25, 2019
News & Insights

Q: What language can we add to our contracts to discourage payers from diverting patients to other hospitals based solely on cost?

March 22, 2019
News & Insights

Q: What new CPT codes for urinary procedures did the American Medical Association introduce for calendar year 2019?

March 22, 2019
News & Insights

A bipartisan group of over a dozen senators called on HHS Secretary Alex Azar to change privacy protections related to substance abuse patients' health records. 

March 20, 2019
News & Insights

A recent study found that hospitals may see lower revenue and higher uncompensated care costs in states that implement Medicaid work requirements. States-specific Medicaid program designs may help to mitigate the potential impact, depending on how many beneficiaries lose coverage.

March 15, 2019
News & Insights

Q: We had a patient with hemorrhagic cystitis. Our preprocedural plan was a cystoscopy with a bladder biopsy and cauterization. How should this be reported in ICD-10-PCS? We are having trouble choosing between Control or another root operation, and we are getting different MS-DRGs depending how the procedure is reported.

March 15, 2019
News & Insights

According to report, at least 50 employees of Northwestern Memorial Hospital in Chicago were fired for accessing the medical record of actor Jussie Smollett without authorization.

March 14, 2019
News & Insights

Q: I recently filed a complaint against my insurance company. The insurance agent who handles my case informed my boss that I filed a complaint against her. Now my boss is mad at me, and I feel like my job is at risk. Is this a HIPAA violation?

March 13, 2019
News & Insights

A proposed rule from HHS’ Office of the National Coordinator for Health Information Technology (ONC) could mandate the publication of prices negotiated between payer and provider organizations as well as detailed information about Medicare reimbursement, DRG prices, and bundled prices.

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