News & Analysis

October 1, 2013
Case Management Monthly

In the August and September issues, CMM told you about a recent set of revisions to the discharge planning section of the CMS State Operations Manual. While most of the changes amounted to housekeeping, CMS did take the unusual step of including some non-binding best practice recommendations related to ­discharge practices. Surveyors won't penalize your organization if you don't follow these recommendations, but experts recommend following the agency's advice whenever possible.

October 1, 2013
Briefings on HIPAA

The healthcare industry is changing rapidly, and if you've been paying attention to the news you've probably noticed the recent wave of hospital mergers.

October 1, 2013
Briefings on APCs

Our experts answer questions about NCCI edits for injections, modifier -25, modifier -59, laminotomy with insertion of Coflex distraction device, billing mammogram for needle placement, and auditing electronic orders.

October 1, 2013
Strategies for Healthcare Compliance

There is some common ground in the corrective action plans (CAP) that OCR has imposed on healthcare organizations it has investigated for HIPAA privacy and security deficiencies.

October 1, 2013
Strategies for Healthcare Compliance

HIM directors are responsible for the integrity of patients' records-even when a hospital shuts down certain wings of the facility or closes its doors entirely.

October 1, 2013
Briefings on APCs

Despite its apparently straightforward definition in the CPT® Manual, modifier -59 (distinct procedural service) can be deceptively difficult to append properly.

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