January 9, 2019
News & Insights

CMS ramped up risk-sharing for accountable care organizations (ACO) in a final rule published December 31, 2018. The final rule makes changes to the Medicare Shared Savings Program and will reduce the amount of time ACOs can stay in one-sided risk models.

January 9, 2019
News & Insights

Q: What kinds of technology should case managers be using to help them on the job?

January 8, 2019
News & Insights

A recent population health study found that socioeconomic conditions affect leading cause of death on a county level. While national trends show that cancer will soon replace heart disease as the leading cause of death nationwide, researchers found that heart disease is still more likely to be the leading cause of death in lower-income counties.

January 7, 2019
News & Insights

Q: Where can I find information on utilization review (UR) requirements for Medicare Advantage (MA)?

January 4, 2019
News & Insights

Approximately 16,000 patients of Mind and Motion Developmental Centers of Georgia had their protected health information compromised after a ransomware attack on a server at the facility.

January 4, 2019
News & Insights

Q: What 2019 CPT updates were made to E/M codes for interprofessional telephone and internet consultations?

January 3, 2019
News & Insights

Q: A patient recently told me she was surprised to learn from another physician at our facility that her adult child had been prescribed a particular medication for high cholesterol. Her child is not a dependent adult under her care. Is it a HIPAA violation for a provider to discuss the care of non-dependent adult children with their parents?

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?

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