Understanding CMS NCCI Edits and the Relative Value File

Insurance companies and Medicare all use some form of claims editing to process claims and determine the rules and guidelines of how procedures and services can be reported alone or in code combinations.  This involves not only the...

Compliance Measures for RN and Social Work Case Managers

As case managers we must be aware of the myriad of compliance issues that we must adhere to in our daily practice.  Never has this been more important to our work as case managers then it is now.  Our ability to remain complia...

Physician Relationships with Hospital Case Management: Physician Advisors and Hospitalists

Collaboration with physicians in best-practice hospital case management departments is critical to optimal outcomes.  Two physician groups probably impact hospital case management processes and outcomes more than any other groups o...

The Other E/M Codes

There are many codes considered Evaluation and Management services that are not used as frequently as the office/outpatient and hospital inpatient codes.  This webinar will discuss E/M codes that can either be reported separately, ...

HIPAA vs. SAMHSA 42 CFR Part 2 -Managing Disclosures of Substance Use Disorder Information

This session focuses on the issues of managing disclosures of health information when it may involve substance use disorder treatment information.  HIPAA allows a number of disclosures without consent that SAMHSA prohibits without ...