News & Analysis

Complex case: Medicaid's five-year look-back rule complicates a discharge

October 30, 2024
Case Management Monthly

Follow the case of a patient who seeks legal advice to protect her assets and finance her medical care.

This week in Medicare—10/30/2024

October 30, 2024
Medicare Insider

This week’s Medicare updates include a memorandum on revised Conditions of Participation for reporting acute respiratory illnesses, an OIG report on improper Medicare Part D payments, and more!

This week in Medicare—10/23/2024

October 23, 2024
Medicare Insider

This week’s Medicare updates include open enrollment tools and resources, additions to the OIG’s Work Plan, and more!

Director’s desk: Collaborating with insurance case managers

October 23, 2024
Case Management Monthly

Insurance case managers can be important allies for case managers, but the value of this collaboration is often a well-kept secret.

CDI queries and denials

October 23, 2024
HIM Briefings

CDI staff must be able familiarize themselves with missing clinical indicators that commonly lead to denials.

Six tips on the new telemedicine E/M codes

October 23, 2024
Briefings on APCs

Take in the details of the 16 new telemedicine codes for real-time encounters in the CPT 2025 manual while you wait to see whether private payers adopt the services or CMS sways from proposed non-coverage of the codes.

Pages