May 20, 2020
HIM Briefings

Recent court rulings have changed how fees are charged for third-party requests for medical records. Learn how these changes impact release of information and the HIM department.

May 11, 2020
News & Insights

The American Medical Association (AMA) recently released a checklist to help medical practices that have experienced a shutdown during the novel coronavirus (COVID-19) public health emergency take steps to safely reopen.

May 11, 2020
News & Insights

Q: What elements does the Office of Inspector General (OIG) expect to see in a hospital's compliance program and how can we meet them?

May 6, 2020
News & Insights

CMS updated its novel coronavirus (COVID-19) fee-for-service billing FAQs on April 23 and May 1. The updated FAQs address the appropriate use of disaster-related modifiers, remote physiological monitoring (RPM), and more.

May 4, 2020
News & Insights

Q: What titles should be considered necessary members of a revenue cycle compliance committee? What structure should it follow?

May 1, 2020
News & Insights

CMS released a new interim final rule with comment period that grants organizations another round of flexibilities to meet the challenges of the COVID-19 public health emergency, including permitting hospitals to bill for telehealth services and loosening restrictions on COVID-19 testing.

April 1, 2020
Briefings on APCs

On January 1, 2021, hospitals will enter a new world of price transparency. CMS put hospitals on track to face expanded price transparency requirements with a final rule released November 15, 2019.

March 1, 2020
Briefings on APCs

Like other services covered by Medicare, observation must be reasonable and necessary or, in other words, medically necessary. The physician must document that they assessed patient risk to determine that the patient would benefit from observation services.

March 26, 2020
News & Insights

CMS lifted some restrictions on telehealth coverage in a bid to keep non-critically ill patients out of clinics and hospitals in a bid to slow down the spread of the novel coronavirus (COVID-19), but other still apply to hospitals.

March 18, 2020
News & Insights

CMS announced blanket waivers of certain Medicare requirements to prevent gaps in care for beneficiaries affected by the novel coronavirus (COVID-19) public health emergency. The agency released billing instructions and a set of Q&As.

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