This week's note from the instructor explores the requirements for reporting clinical laboratory commercial and Medicare Advantage payment data to CMS.
A bipartisan group of over a dozen senators called on HHS Secretary Alex Azar to change privacy protections related to substance abuse patients' health records.
Case managers often run into questions when performing their daily duties. Sometimes they’re related to best practice, and other times they’re related to regulatory issues.
Q: I work in patient registration at a hospital. A patient asked if they could have something in their medical record changed. I know that patients can request to see their whole medical record, but can they change it? What does HIPAA allow?
This week's note from the instructor explores the requirements for reporting clinical laboratory commercial and Medicare Advantage payment data to CMS.
This week’s Medicare updates include several new additions to the OIG Work Plan, the April 2019 Outpatient Prospective Payment System update, corrections to the Medicare Physician Fee Schedule final rule, and more!
A recent study found that hospitals may see lower revenue and higher uncompensated care costs in states that implement Medicaid work requirements. States-specific Medicaid program designs may help to mitigate the potential impact, depending on how many beneficiaries lose coverage.
Value-based payment systems like Medicare’s Merit-based Incentive Payment System hold providers accountable for population health measures driven by factors beyond their control, and this has resulted in a misalignment in accountability, according to a commentary in the American Journal of Accountable Care.
In this month's Product Watch, we look at a managed service provider (MSP) that offers HIPAA-compliant MSP services, managed security services, disaster recovery sites, and the technical support to help covered entities and business associates breathe easier
The American Medical Association’s (AMA) CPT Editorial Panel approved significant changes to E/M reporting guidelines, including the deletion of a visit code, creation of new criteria for the selection of a visit level, and overhaul of the medical decision-making (MDM) documentation guidelines at a meeting held in February, to align with recent E/M changes finalized by CMS.
