August 30, 2016
News & Insights

How are inpatient-only procedures identified?

August 30, 2016
News & Insights

Nearly 20% of patients involved in a recent UT Southwestern Medical Center study were discharged from the hospital with one or more unstable vital signs, resulting in a higher number of deaths or readmissions than patients discharged with stable vital signs.

August 29, 2016
News & Insights

A Virginia dermatology clinic notified 13,237 patients this month of a breach of protected health information (PHI) in the wake of a ransomware attack.

August 26, 2016
News & Insights

CMS’ wireless network has significant vulnerabilities that could compromise the integrity of the agency's data, the Office of Inspector General (OIG) said in a recent report.

August 26, 2016
News & Insights

CMS did not have a choice about implementing site-neutral payment policies after Congress passed Section 603 of the Bipartisan Budget Act of 2015, but providers hope the agency will reconsider some of the provisions to operationalize the policy introduced in the 2017 OPPS proposed rule.

August 26, 2016
News & Insights

Q: I have a question about navigating the skilled nursing facility (SNF) benefit for Medicare. My understanding is that you can only use a Hospital-Issued Notices of Noncoverage (HINN) for inpatient, so you could use if less than a three-day stay. We have been giving Advance Beneficiary Notices (ABN) for our traditional Medicare patients that are observation when families are not timely on getting a SNF secured to those patients that require it. Is this correct?

August 24, 2016
News & Insights

The Medicare Reporting and Returning of Self-Identified Overpayments final rule became effective March 14 and applies to healthcare “providers” and “suppliers” furnishing services under Medicare Parts A and B. This article explains some of the key points in this rule.

August 24, 2016
Medicare Insider

This week’s Medicare updates include the October 2016 Integrated Outpatient Code Editor specifications version 17.3; the Medicare Fee for Service (FFS) Recovery Audit program third quarter summary newsletter; and more!

August 24, 2016
News & Insights

Q: We provide tobacco cessation services and have been reporting these with time-based HCPCS codes. There are also CPT® codes for these services. Which is the appropriate set of codes to use for Medicare?

August 22, 2016
News & Insights

The Office for Civil Rights (OCR) will crack down on breaches affecting fewer than 500 individuals, the agency announced in an email sent August 18.

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