June 22, 2018
News & Insights

Around a dozen employees of the Washington Health System (WHS) in Washington County, Pennsylvania, have reportedly been suspended for HIPAA violations involving alleged inappropriate access to patient records, according to the Washington County Observer-Reporter.

June 21, 2018
News & Insights

Q: Is it a violation of the HIPAA Privacy Rule to make a comment while working at a pharmacy that “we’ve seen a lot of flu cases”?

June 26, 2018
News & Insights

With new attention on the care continuum, many new roles are being created to both complement the comprehensive needs of patients and ensure that licensed individuals have the opportunity to work at the top of their license. As a result, many organizations are adding positions called navigators or health coaches to provide more support to the patient and family around the logistics of care.

June 20, 2018
News & Insights

The Office of Inspector General (OIG) plans to address concerns regarding capitated payment models by putting preauthorization denials under review.

June 27, 2018
News & Insights

What do you think about “dotted line” relationships between the case management director and other departments and vice presidents?

June 25, 2018
News & Insights

How can revenue integrity professionals ensure drug units are properly represented in the charge description master?

June 19, 2018
News & Insights

In a continued effort to combat the opioid epidemic, CMS released a roadmap detailing its progress toward addressing the crisis as well as its plans for slowing opioid dependence. CMS noted that while the latest Centers for Disease Control and Prevention statistics indicate the opioid epidemic is not slowing down, efforts aimed at combatting the epidemic must continue.

June 15, 2018
News & Insights

Q: I am confused about the difference between the laterality modifiers -LT (left side) and -RT (right side) and modifier -50 (bilateral procedure). Can you explain?

June 20, 2018
News & Insights

How can case managers and social workers assist patients in lowering medication costs?

June 18, 2018
News & Insights

What are the distinctions between hard and soft coding?

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