News & Analysis

January 1, 2015
Briefings on APCs

As CMS pushes the OPPS from a fee-for-service program toward more of a true prospective payment system, financial impact analysis of changes, departmental budgeting, and forecasting has become more complicated each year.

January 1, 2015
Briefings on APCs

Our experts answer questions about outpatient queries and documentation for HCCs.

January 1, 2015
Strategies for Healthcare Compliance

Mobile devices have changed the way people share and access information in their personal and professional lives. Smartphones and tablets may make it easier and faster for people to communicate, store, and access information, but they present risks if lost, stolen, or hacked. This can be especially challenging in the healthcare industry as it has become common for providers to use various mobile tools, including smartphones, laptops, notebooks, tablets, phablets, personal digital assistants, USB devices, digital cameras, and radiofrequency identification devices, to communicate with colleagues and access applications.

January 1, 2015
Strategies for Healthcare Compliance

Q: If someone calls a facility to schedule an appointment for a patient, is it a violation of HIPAA to admit the patient receives care at the practice? For example, the practice where I work often helps victims of domestic abuse. We received a call from a patient's estranged spouse who asked to schedule an appointment for the patient when, in reality, he was trying to determine the whereabouts of his spouse so he could harm her. I realize this is a safety issue but wonder whether it is also a HIPAA issue.

December 30, 2014
Medicare Insider

This week’s updates include the January 2015 updates to the Integrated Outpatient Code Editor and OPPS. Click the link above to read more about this week’s updates.

December 23, 2014
Medicare Insider

This week’s updates include changes to and billing instructions for various payment policies implemented in the January 2015 OPPS update and new waived tests. Click the link above to read more about this week’s updates.

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