News & Analysis

May 10, 2019
Case Management Monthly

Case managers already know their responsibility for patients doesn’t end at discharge and an important part of readmission prevention involves following up with the patient well after he or she leaves. But a new study shows one problem area where case managers might want to put some additional attention: the transition from SNF to home.

May 9, 2019
Medicare Insider

This week's note from the instructor examines recently released guidance from CMS on the modernization of the local coverage determination process. 

May 9, 2019
Medicare Web

Q: Is HealthCare.gov considered a covered entity under HIPAA?

May 8, 2019
Medicare Web

Q: I know that there is a mandatory duty to report abuse and neglect to law enforcement, but where is line between protecting patient privacy and a case manager's duty to warn when a patient is in danger of harming themselves? 

May 8, 2019
Medicare Insider

This week’s Medicare updates include a draft of guidance for hospital co-location, additional instructions for implementation of the Patient-Driven Groupings Model, a proposed rule on changes of ownership for accrediting organizations, and more!

May 8, 2019
Medicare Web

A recent MLN Matters article clarifies language in the Medicare Claims Processing Manual to match current documentation policy for evaluation and management (E/M) services billed by teaching physicians.

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