July 15, 2016
News & Insights

What do you do with a patient who does not have a safe discharge plan, but does not meet inpatient criteria and has been in observation status for 48 hours?

July 8, 2016
News & Insights

CMS proposes aligning its conditional packaging modifiers and deleting a much-maligned modifier for separately payable laboratory tests in the 2017 OPPS proposed rule, released July 6. 

July 8, 2016
News & Insights

My understanding is that under the 2-midnight rule CAHs cannot go past two midnights of observation care if the patient has Medicare as a payer. Is that correct?

July 12, 2016
News & Insights

My understanding is that under the 2-midnight rule CAHs cannot go past two midnights of observation care if the patient has Medicare as a payer. Is that correct?

July 7, 2016
News & Insights

CMS is looking to implement the Section 603 provisions of the Bipartisan Budget Act of 2015 regarding off-campus, provider-based departments by January 1, 2017, according to the 2017 OPPS proposed rule, released yesterday. 

July 6, 2016
Medicare Insider

The following is an excerpt from Inpatient-Only Procedures Training Handbook, written by Debbie Mackaman, RHIA, CPCO, CCDS. For more information and to purchase, visit the HCPro Marketplace.

July 5, 2016
News & Insights

Q. When issuing a MOON in a critical access hospital, how do we explain the patient financial responsibility since we are not paid the observation set amount?

June 28, 2016
News & Insights

The Commission for Case Manager Certification and the National Association of Social Workers entered an agreement to offer more social workers a chance at earning the Certified Case Manager® credential.

June 28, 2016
News & Insights

The Commission for Case Manager Certification and the National Association of Social Workers entered an agreement to offer more social workers a chance at earning the Certified Case Manager® credential.

June 28, 2016
News & Insights

Q. Is it mandated to use the CMS MOON notice or can we construct our own notice?

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