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July 19, 2018
Medicare Insider

This week's instructor's note addresses the coding implications of the proposed changes to E/M coding from the Medicare Physician Fee Schedule proposed rule.

July 20, 2018
Case Management Monthly

Case management is a tactical and strategic profession governed by ever-changing regulations. Staying current with regulations is not something a case management leader can do casually or occasionally. The process requires thoughtfulness, broad thinking, and the ability to educate staff and to implement and audit process changes as they relate to new regulations.

July 20, 2018
Medicare Web

Q: In ICD-10-CM, how would you report a patient who is receiving hemodialysis and has chronic kidney disease (CKD) when a failed kidney transplant is also documented?

July 20, 2018
Medicare Web

A former Arkansas Children’s Hospital employee is under investigation for misusing patients’ personal health information for personal gain, according to an announcement from the hospital.

July 19, 2018
Medicare Insider

This week's instructor's note addresses the coding implications of the proposed changes to E/M coding from the Medicare Physician Fee Schedule proposed rule.

July 19, 2018
Medicare Web

Q: Is it a HIPAA violation to receive a postcard from a facility regarding your mammogram, date, time, and instructions?

July 18, 2018
Medicare Web

Q: How can a case manager match a patient with a care plan and help the patient meet planned goals?

July 18, 2018
Medicare Insider

This week’s Medicare updates include the release of the Medicare Physician Fee Schedule proposed rule, a fact sheet regarding proposals for the Quality Payment Program in 2019, the End-Stage Renal Disease and Durable Medical Equipment proposed rule, and more! 

July 18, 2018
HIM Briefings

Payers rely heavily on the use of data and data analytics to manage their risk. Follow these tips for using payer guidelines to understand what they’re looking for and how to improve documentation.

July 18, 2018
Medicare Web

CMS recently released new documentation guidance on medical review of E/M services performed by medical students. A medical student may document E/M services if the physician performs or re-performs the exam and then verifies the student’s documentation.

July 17, 2018
Medicare Web

CMS began rolling out new cards to Medicare beneficiaries in April and recently announced that wave one of the mailing has been completed. The new cards are intended to help protect beneficiaries’ Social Security Numbers.

July 16, 2018
Briefings on HIPAA

The HIPAA Security Rule requires information systems activity review, but a number of covered entities and business associates have yet to implement a robust security program that includes monitoring audit logs. Per the preamble to the Omnibus Rule, if audit logs are generated and you’re not looking at them periodically, that could be considered willful neglect.

July 16, 2018

CMS had a 71.3% improper payment rate for surgical dressings in 2017, accounting for 0.3% of the overall Medicare Fee-for-Service improper payment rate that year, according a Comprehensive Error Rate Test (CERT) report in the most recent Medicare Quarterly Provider Compliance Newsletter.