February 5, 2018
News & Insights

How does Medicare cover hospital outpatient diagnostic services furnished in a provider-based department?

February 2, 2018
Case Management Monthly

At the start of 2018, it’s time to take stock of billing compliance risks that may affect your organization in the new year and patch potential holes before they become a problem.

February 1, 2018
News & Insights

The National Association of Healthcare Revenue Integrity is currently seeking speakers to present at the 2018 Revenue Integrity Symposium, to be held October 16–17, 2018, in Litchfield Park, Arizona. Is that special person you or a colleague?

January 31, 2018
News & Insights

A recent OIG audit and report revealed that Medicare incorrectly paid approximately $1.7 million to Carolinas Medical Center in Charlotte, North Carolina, as a result of incorrect billing on the part of the medical center.

February 1, 2018
News & Insights

Hospital and health system revenue cycle vice presidents and directors will once again meet to —review these strategies and new ones at the 2018 HealthLeaders Media Revenue Cycle Exchange, March 21-23 at Ponte Vedra Beach, Florida. To learn if you qualify for the invitation-only event, please contact Exchange@healthleadersmedia.com

January 1, 2018
Briefings on APCs

Review the stories and topics Briefings on APCs covered in 2017, including Q&As and OPPS Advisor columns. 

January 29, 2018
News & Insights

Our hospital is located in a rural location where it is difficult to find specialty physicians to provide services to its hospital outpatients. We are trying to determine which of our facilities that furnish services on or near the hospital campus would be excluded from provider-based requirements. 

January 24, 2018
News & Insights

At Grady Health System in Atlanta, monitoring key performance indicators (KPI) always comes back to the foundation KPI: hospital late charges. The timing of posting charges has a ripple effect. The longer you wait to post a charge, the more likely it is you will miss something.

January 1, 2018
Briefings on APCs

CMS' 340B FAQ reviews modifiers -JG (drug or biological acquired with 340B drug pricing program discount) and -TB (drug or biological acquired with 340B drug pricing program discount, reported for informational purposes) and requires 340B hospitals to report modifiers even on drugs that are not subject to the discount policy.

January 10, 2018
News & Insights

The Massachusetts Health Policy Commission announced January 4 that it certified 17 healthcare organizations qualified to be part of the Accountable Care Organization Certification program, which implements payer standards for care delivery across the state. 

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