News & Analysis

January 23, 2018
News & Insights

The main dilemma for the boardroom and the frontline case management professionals is they do not warm up to “models.” In fact, models are looked at with skepticism, and if they are being evaluated, models are looked at as warnings about more work to come. Looking at the patient/family level of care, every patient and family should receive the following services from case management.

January 22, 2018
News & Insights

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

January 22, 2018
Briefings on HIPAA

Everyone is familiar with the words “privacy” and “security,” but what do these terms mean to the experts, and what is the relationship between privacy and security?

January 19, 2018
News & Insights

Q: Could you discuss or explain evaluating encounter billing vs. monthly billing for recurring outpatient services such as chemotherapy infusions or radiation oncology?

January 19, 2018
Case Management Monthly

The 2-midnight rule was designed to simplify decisions on whether to order inpatient or outpatient observation services for patients and to reduce the volume of observation cases. However, some hospitals and healthcare systems have reported that the rule has actually increased confusion around level of care, without lowering observation volumes.

January 19, 2018
News & Insights

A Greenfield, Indiana-based hospital paid a ransom recently to regain access to its computer system.

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