April 8, 2019
News & Insights

Q: How do Medically Unlikely Edits (MUE) apply to clinical trials claims?

April 4, 2019
News & Insights

Q: An investigator from the state health department called the clinic where I work and asked for health records to collect vaccination data for a public health project. Is it a HIPAA violation to share that data?

April 3, 2019
News & Insights

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

April 3, 2019
News & Insights

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?

March 29, 2019
News & Insights

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

March 29, 2019
News & Insights

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

March 28, 2019
News & Insights

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.

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?

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