November 2, 2017
News & Insights

Despite opposition from many stakeholders, a bipartisan contingent of Congress, and CMS’ own advisory panel, the agency is moving forward with its plan to drastically cut payments for drugs acquired through the 340B drug discount program, according to the 2018 OPPS final rule, released November 1.

November 1, 2017
News & Insights

Q: What's the distinction between the case manager and non-lincensed case manager extender?

October 30, 2017
News & Insights

CMS now offers an elearning opportunity on the Quality Payment Program (QPP) through the MLN Learning Management System. This course is the fifth in a growing curriculum on the QPP and will offer 0.5 AMA PRA Category 1 Credits. 

October 26, 2017
News & Insights

Q: Our state child support enforcement agency requested the medical records of one of our pediatric patients. Are we allowed to respond to this request without a subpoena?

October 25, 2017
News & Insights

According to a report published by Change Healthcare, 23.9% of claim denials are due to errors during front-end revenue cycle processes such as registration and eligibility.

October 25, 2017
News & Insights

Q: What are the core competencies of a case manager?

October 9, 2017
News & Insights

On October 4, CMS issued a notice in the Federal Register containing numerous corrections to the 2018 IPPS final rule, including significant recalculations of MS-DRG relative weights and all budget neutrality factors. 

September 11, 2017
News & Insights

In a series of press releases, CMS announced certain public health emergency policies are in effect for the parts of Texas, Louisiana, and Florida hit by Hurricanes Harvey and Irma. 

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