News & Analysis

January 31, 2018
Medicare Insider

This week’s Medicare updates include a notice about the therapy caps exceptions process expiration, two fact sheets regarding the advanced alternative payment model determination process, revisions to guidance for rural health clinic surveyors, and more!   

January 31, 2018
News & Insights

A recent OIG audit and report revealed that Medicare incorrectly paid approximately $1.7 million to Carolinas Medical Center in Charlotte, North Carolina, as a result of incorrect billing on the part of the medical center.

January 29, 2018
News & Insights

Our hospital is located in a rural location where it is difficult to find specialty physicians to provide services to its hospital outpatients. We are trying to determine which of our facilities that furnish services on or near the hospital campus would be excluded from provider-based requirements. 

January 24, 2018
Medicare Insider

This week’s Medicare updates include the January 2018 edition of the Medicare Quarterly Compliance Newsletter, an update to the OIG work plan, the 2018 Value Modifier results, and more! 

January 24, 2018
News & Insights

At Grady Health System in Atlanta, monitoring key performance indicators (KPI) always comes back to the foundation KPI: hospital late charges. The timing of posting charges has a ripple effect. The longer you wait to post a charge, the more likely it is you will miss something.

January 22, 2018
News & Insights

How would a rural health clinic bill for services it provided beyond its scope?

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