November 1, 2018
News & Insights

Q: I work for a large company. I called out one day because my daughter was sick. Do I have to provide a doctor's note to my employer when I wasn't the actual patient?

October 31, 2018
News & Insights

CMS is proposing to expand Medicare Advantage (MA) telehealth benefits and to increase auditing and recovery of overpayments made to MA plans, according to a proposed rule released October 26.

October 31, 2018
News & Insights

Q: Case managers used to evaluate their work in terms of tasks completed or length of stay (LOS). Now that LOS has more than a financial meaning, what are some meaningful outcomes case managers can use to set goals for their work?

October 30, 2018
News & Insights

The emergency department (ED) should be considered a patient unit, and the case manager and social worker should triage throughout the day. They must work to improve patient flow in the ED and provide better quality of care for the patient.

October 29, 2018
News & Insights

Q: What are some key metrics we should monitor for billing and overall revenue cycle performance?

October 26, 2018
News & Insights

The HHS Office for Civil Rights (OCR) and Office of the National Coordinator for Health Information Technology (ONC) announced last week that they have updated the Security Risk Assessment tool with improved functionality to assess risks to protected health information.

October 26, 2018
News & Insights

Q: Which procedure code would you use for a surgical correction of the femoral trochlea (i.e., trochleoplasty)?

October 25, 2018
News & Insights

Q: Are we required to keep copies of a former patient’s records after transferring the records to the patient’s new doctor? If we do, are we allowed to charge for copies now that the patient is no longer “our” patient?

October 24, 2018
News & Insights

Q: What does a pediatric emergency department (ED) case manager have to consider that a case manager in an adult ED does not?

October 23, 2018
News & Insights

Last week, the U.S. Department of Health and Human Services Health Resources and Services Administration announced that it is awarding $293 million to primary healthcare clinicians and students in an effort to expand the workforce.

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