January 2, 2019
News & Insights

Q: What silos do I need to be aware of as a case manager in a behavioral health clinic?

January 2, 2019
News & Insights

Revenue integrity auditors can monitor multiple priorities more efficiently with data analytics and decision support systems.

December 28, 2018
News & Insights

Q: Are there any new comprehensive APCs (C-APC) in 2019?

December 21, 2018
News & Insights

Q: CMS considered changing its skin substitute payment model in the 2019 OPPS proposed rule. What changes did it finalize?

December 28, 2018
News & Insights

Pagosa Springs Medical Center (PSMC) in Pagosa Springs, Colorado, has agreed to pay $111,400 to the Office for Civil Rights (OCR) and to adopt a substantial corrective action plan in a settlement over alleged HIPAA violations.

December 21, 2018
News & Insights

Baylor Scott & White Medical Center-Frisco, in Frisco, Texas, announced a data breach earlier this month affecting 47,000 patients and guarantors. The breach occurred in September when the hospital found an issue with a third-party vendor’s credit card processing system.

December 20, 2018
News & Insights

Q: Sometimes the emergency department where I work gets so busy we have to evaluate patients before they can be placed in a room. I have seen nurses perform examinations on patients on stretchers in hallways where they can easily be overheard discussing medical histories and treatment options. Would this be considered a HIPAA violation?

December 19, 2018
News & Insights

Hospitals are allowed to publish a list of charges that contains UB-04 revenue codes when complying with 2019 IPPS final rule requirements requiring the publication of standard charges, the American Hospital Association (AHA) said in a regulatory advisory bulletin

December 19, 2018
News & Insights

Q: Who should the case management department report to?

December 18, 2018
News & Insights

The National Committee for Quality Assurance (NCQA) recently announced that it is launching two new population health management programs.

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