News & Analysis

July 1, 2021
Case Management Monthly

A policy that UnitedHealthcare was poised to roll out that would have allowed it to retroactively deny ED claims isn’t moving forward yet. But that doesn’t mean case managers shouldn’t prepare for the payer, or others, to implement such policies.

July 1, 2021
Medicare Insider

This week's note from the instructor looks at a recent clarification published by CMS on reimbursement for certain provider-based rural health clinics.

July 1, 2021
Briefings on HIPAA

The Cybersecurity and Infrastructure Security Agency (CISA) and FBI have observed continued targeting through spearphishing campaigns using TrickBot malware in North America, according to a Joint Cybersecurity Advisory published in March and updated in May.

July 1, 2021
Briefings on APCs

Our coding experts answer questions about ICD-10-CM coding for pregnancy with unspecified anemia, CPT reporting for multiday EEGs, and more.  

July 1, 2021
Briefings on APCs

Refresh your knowledge of dysphagia, esophagitis, gastroesophageal reflux disease, and Barrett’s esophagus, and review guidance for reporting these conditions in ICD-10-CM.

July 1, 2021
Case Management Monthly

CMS announced another round of changes to its Bundled Payments for Care Improvement program recently and said that while participation thus far has been voluntary, it may become mandatory starting as early as 2024.

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