News & Analysis

October 1, 2021
Briefings on HIPAA

In its July newsletter, OCR announced a collaboration with the HHS Office of the National Coordinator for Health Information Technology (ONC) to seek user feedback and improvement suggestions on its Security Risk Assessment (SRA) Tool.

October 1, 2021
Case Management Monthly

Case managers are charged with helping patients to navigate multiple challenges. But sometimes, their own preconceived notions may creep into care interactions and become a barrier.

October 1, 2021
Briefings on APCs

Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, breaks down CPT coding for diagnostic services performed during the second and third trimesters, and provides an overview of an obstetric (OB) hospitalist's role in caring for high-risk maternity patients.

October 1, 2021
Briefings on APCs

Several CPT modifiers have similar definitions, which can make distinguishing between them challenging. Review guidance for the appropriate application of modifier -51 versus -59 and discontinued service modifiers -52, -53, -73, and -74.

October 1, 2021
Case Management Monthly

In December 2020, CMS announced that it would begin a Review Choice Demonstration (RCD) for inpatient rehabilitation facility (IRF) services. The goal: to improve detection and identification of Medicare fraud related to these services.

October 1, 2021
Case Management Monthly

CMS finalizing plans to remove the inpatient-only list, only to propose a reversal less than a year later, has introduced challenges for case managers.

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