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The Government Accountability Office (GAO) recommended that CMS assess and strengthen documentation requirements and medical reviews to more effectively prevent improper payments.

Q: When patients transfer to long-term care or skilled nursing facilities, they have basic information with them, but what questions should those facilities ask to make sure they have all the information they need to provide care?

A recent phishing scam targeting the Oregon Department of Human Services resulted in a data breach that affected at least 350,000 Oregon residents.

Q: I’m new to coding and am having trouble understanding how to find the correct MS-DRG for a patient. Could you walk me through the process?

The National Association of Healthcare Revenue Integrity is conducting its annual State of the Revenue Integrity Industry survey, and we want to hear about your revenue integrity experience.

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

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.

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

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

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.