February 7, 2018
News & Insights

What strategies can case managers employ to engage physicians in the utilization review process?

February 5, 2018
News & Insights

How does Medicare cover hospital outpatient diagnostic services furnished in a provider-based department?

February 2, 2018
News & Insights

Fresenius Medical Care North American (FMCNA), a multistate clinic and provider network specializing in chronic kidney failure treatment, agreed to a $3.5 million HIPAA violation settlement.

February 2, 2018
News & Insights

Q: How does the Supplemental Medical Review Contractor determine which reviews to perform? Does SMRC work for CMS or our Medicare Administrative Contractor? 

February 1, 2018
News & Insights

The National Association of Healthcare Revenue Integrity is currently seeking speakers to present at the 2018 Revenue Integrity Symposium, to be held October 16–17, 2018, in Litchfield Park, Arizona. Is that special person you or a colleague?

January 31, 2018
News & Insights

A recent OIG audit and report revealed that Medicare incorrectly paid approximately $1.7 million to Carolinas Medical Center in Charlotte, North Carolina, as a result of incorrect billing on the part of the medical center.

February 1, 2018
News & Insights

Hospital and health system revenue cycle vice presidents and directors will once again meet to —review these strategies and new ones at the 2018 HealthLeaders Media Revenue Cycle Exchange, March 21-23 at Ponte Vedra Beach, Florida. To learn if you qualify for the invitation-only event, please contact Exchange@healthleadersmedia.com

February 1, 2018
News & Insights

Q: If a patient accidentally puts the paperwork in the trash or on the table, and the information on the paperwork is visible to other patients or family members, is it a HIPAA violation?

January 30, 2018
News & Insights

The Case Management Society of America recently released an updated version of its Case Management Model Act, which is aimed at standardizing best practices in case management to improve clinical and financial outcomes, according to CMSA Today.

January 31, 2018
News & Insights

How can case managers improve teamwork across the continuum of care?

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