September 8, 2017
Case Management Monthly

CMS is thinking about scaling back its Comprehensive Care for Joint Replacement model, a program that aimed to reduce costs related to the most common inpatient surgery for Medicare beneficiaries: hip and knee replacements.

August 30, 2017
Case Management Monthly

Mrs. Jones is a surly 86-year-old patient on day four of her hospitalization.

August 11, 2017
Case Management Monthly

So, you just tossed out the old version of your Advance Beneficiary Notice of Noncoverage (ABN) form and traded it for a fresh version, which went into effect in June. Get ready for another round of replacements.

August 2, 2017
HIM Briefings

The new ICD-10-CM codes for FY 2018, effective October 1, represent significant changes in our documentation and coding practices. In follow-up to last month’s column, let’s discuss additional new codes and their potential impact upon your diagnostic decision-making and documentation.

July 28, 2017
Case Management Monthly

When Spencer Johnson wrote the iconic book, Who Moved My Cheese? An A-Mazing Way to Deal With Change in Your Work and in Your Life, he probably didn’t have the homecare industry in mind. But with the speed of reimbursement and regulatory issues surrounding us today, he certainly could have. 

July 26, 2017
HIM Briefings

The new ICD-10-CM codes for FY 2018, effective October 1, represent significant changes in our documentation and coding practices. Please consider some of these changes and determine whether your documentation or billing habits require an update.

July 12, 2017
HIM Briefings

The Joint Commission continues to provide excellent resources to help healthcare organizations stay ready for surveys, as well as resources that help them meet and understand the intent of standards and elements of performance.

June 26, 2017
News & Insights

The release of the Quality Payment Program proposed rule introduced virtual groups as a way to reduce burden on small practices and clinicians. While the MACRA legislation laid out the initial concept of virtual groups, this proposed rule revealed many more details about how virtual groups will function. 

June 22, 2017
News & Insights

CMS has spoken repeatedly of easing the burden for providers this spring, and the agency’s Quality Payment Program (QPP) proposed rule released June 20 attempts to do that for small practices and other clinicians.  

June 7, 2017
News & Insights

HHS and the Office of Inspector General (OIG) recently released a resource guide outlining how to measure compliance program effectiveness. After surveying compliance professionals and staff from within HSS, seven key elements of compliance programs were identified.

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