November 26, 2018
News & Insights

Q: How do we manage Medically Unlikely Edits (MUE) on clinical trial claims?

November 20, 2018
News & Insights

A collaborative health program between medical and community service groups in Pierce County, Washington, has led to a 44% reduction in 911 calls, a 47% reduction in ambulance transports, and a 36% reduction in emergency department visits within the first two years of the program.

November 19, 2018
News & Insights

Q: What is the difference between the two types of Remittance Advice Remark Codes (RARC)?

November 16, 2018
News & Insights

CNO Financial Group recently reported a data breach which compromised the protected health information of 566,271 individuals to HHS’ Office of Civil Rights. The breach occurred in the company’s Bankers Life and Casualty Co. division in Chicago.

November 16, 2018
News & Insights

Q: A nurse practitioner told a patient to return after an office visit if his chest pain worsened, and the provider ordered a nuclear stress test to take place the next day. Can my provider count the plan for the stress test in the medical decision-making for the previous encounter?

November 15, 2018
News & Insights

Q: We have recently begun to alert patients about appointments via text message. What are some things we should know about remaining HIPAA-compliant through this process?

November 14, 2018
News & Insights

Although most eligible clinicians who participated in the first reporting year of the Merit-based Incentive Payment System received a positive payment adjustment, even the highest performing clinicians saw only a modest bonus.

November 14, 2018
News & Insights

Q: Do you have any techniques or methods patients can use to manage their health after a hospital discharge?

November 13, 2018
News & Insights

Hispanic Americans make up nearly 18% of the total population, and a recent survey report from CMS finds that the diversity of ancestry within that population makes a difference when it comes to health outcomes.

November 12, 2018
News & Insights

Q: What activities are required of an accountable care organization (ACO) during performance years?

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