December 4, 2018
News & Insights

Geisinger Health System’s ProvenRecovery program, a population health initiative to combat opioid use after surgery, reduced the length hospital stays, saved $1.5 million, and contributed to an 18% reduction in opioid use across the organization since its pilot launched in June 2017.

December 3, 2018
News & Insights

Q: Do we need to monitor Medicare's additional documentation requests (ADR) as part of our denials management program?

November 30, 2018
News & Insights

The Office for Civil Rights reached a $125,000 settlement with Allergy Associates of Hartford, P.C., in Hartford, Connecticut, after a HIPAA breach where a doctor disclosed a patient’s protected health information (PHI) to a local television reporter.  

November 30, 2018
News & Insights

Q: How are selective and nonselective wound debridement procedures documented in the medical record and coded using CPT?

November 29, 2018
News & Insights

Q: What have you seen as best practices with faxing PHI? We still rely often on faxing patient records.

November 28, 2018
News & Insights

Hospital price growth is falling, according to a November price brief from Altarum. In October, hospital price growth rose by 1.3% compared to October 2017, the lowest annual price growth rate since September 2017.

November 28, 2018
News & Insights

Q: Case management education seems to vary widely. What is the Career Knowledge Pathway?

November 27, 2018
News & Insights

The American Medical Association has released an enhanced interactive tool that illustrates the geographic distribution of physicians and non-physician clinicians at a state or county level.

November 21, 2018
News & Insights

Novitas Solutions, Inc. plans to pursue $7.2 million in intensity-modulated radiation therapy (IMRT) overpayments to hospitals in its jurisdiction, according to an Office of Inspector General report.

November 21, 2018
News & Insights

Q: What does a case manager need to know when helping a patient with their discharge plan?

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