January 31, 2017
HIM Briefings

Even though we are set to inaugurate a new president of the United States who vowed to abolish Obamacare, I believe that Donald J. Trump will not touch provisions that address perceived cost inefficiency or quality within our healthcare system. In fact, if you’ve read CMS’ game plan for transforming healthcare published in JAMA in 2014, note that many of these provisions began with George W. Bush and have been embraced by the AMA with the implementation of MACRA.

January 11, 2017
HIM Briefings

The implementation of ICD-10 in 2015 was considered an industrywide success. Coders were trained, HIM departments were prepared, and outsourced coding companies expanded their roles. As we enter the second year of ICD-10, what should HIM directors expect from their coding teams and outsourced vendor partnerships?

December 28, 2016
Medicare Insider

This week’s Medicare updates include finalization of two new payment models, the January 2017 update of the ASC Payment System, an OIG report on vulnerabilities that remain under CMS' 2-Midnight Rule, and more!

December 20, 2016
Medicare Insider

This week’s Medicare updates include Hospital Appeals Settlement Process FAQs, additional opportunities for clinicians under the Quality Payment Program, Conditions for Coverage for End-Stage Renal Disease Facilities interim final rule, and more!

December 6, 2016
Medicare Insider

This week’s Medicare updates include the OIG’s Semiannual Report to Congress, an announcement that the Hospital Appeals Settlement Process is now open, a HCPCS Code Update for Preventive Services, and more!

December 6, 2016
News & Insights

This week’s note discusses the 2017 changes to chronic care management provided by rural health clinics.

December 12, 2016
Briefings on HIPAA

Information security officers often have their hands full with HIPAA. But as high-deductible health plans have patients paying more out of pocket, it’s time organizations took a closer look at another set of cybersecurity guidance: the Payment Card Industry Data Security Standard (PCI DSS).

November 29, 2016
Medicare Insider

This week’s Medicare updates include a claims status category and claims status codes update, new waived tests, the reprocessing of some IPPS claims, and more!

November 22, 2016
Medicare Insider

This week’s Medicare updates include 2017 Annual Update to the Therapy Code List, a Proposed Decision Memo on Leadless Pacemakers, Provider Reimbursement Manual Hospital and Hospital Health Care Complex Cost Report Form CMS-2552-10 updates, and more!

November 28, 2016
News & Insights

The University of Massachusetts Amherst (UMass) agreed to a $650,000 HIPAA settlement fine after a breach investigation revealed the university failed to implement basic security measures.

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