August 16, 2023
Case Management Monthly

Every facility wants to prevent denials. But in this short-staffed era, it can be difficult to consistently ensure that claims are accurate. 

August 9, 2023
Case Management Monthly

Read this Q&A to better understand which telehealth programs were made permanent or temporarily extended for Medicare Part B patients until 2024 under the Consolidated Appropriations Act of 2023.

August 30, 2023
HIM Briefings

Medical necessity is a term used to describe the need and justification for services a patient will receive, including diagnostic studies or therapeutic treatment. Understand how Medicare defines the term and what requirements must be met.

July 12, 2023
Briefings on HIPAA

In this article, we will dissect the latest significant breach reported by the Office of Civil Rights. It involved MedEvolve Inc. and resulted in a $350,000 fine. We’ll explore the potential preventive strategies that healthcare entities can implement.

July 5, 2023
Briefings on HIPAA

Learn which rules and regulations are changing as providers navigate the post-COVID-19 public health emergency transition period to full OCR compliance with HIPAA telehealth rules.

July 19, 2023
Case Management Monthly

Elizabeth Hogue, Esq., explains why it just got a little harder for the federal government to hold healthcare organizations liable under the False Claims Act.

July 26, 2023
HIM Briefings

Contract negotiations can make or break a hospital, because in addition to setting the price list for services provided to the insurer’s members, the negotiations also affect the resources that the provider expends to comply with the contract terms. Use this sample language as a template for your organization.

June 14, 2023
Briefings on APCs

Rose T. Dunn, MBA, RHIA, CPA/CGMA, FACHE, FHFMA, CHPS, describes how coding reviews provide an opportunity to conduct a thorough compliance review that not only addresses components of the coding process, but also the integrity of the patient’s record.

June 21, 2023
Briefings on HIPAA

Rebecca Herold, CDPSE, FIP, CISSP, CIPM, CIPP/US, CIPT, CISM, CISA, FLMI, answers submitted questions on a variety of HIPAA topics.

June 14, 2023
Briefings on HIPAA

Frank Ruelas, MBA, Briefings on HIPAA advisory board member, answers questions on best access control practices and provides compliance tips.

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