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April 19, 2018
Medicare Insider

This week's note from the instructor is the first article in a series reviewing the coverage, billing, and payment rules for swing bed services. This edition of the series focuses on the definition of swing bed services and general requirements hospitals must meet to provide covered swing bed services. 

April 23, 2018
Briefings on HIPAA

The 2009 HITECH Act created the breach reporting rule. The following will summarize the rule, paying specific attention to the modifications that were detailed in the Omnibus Rule of January 23, 2013.

April 23, 2018
Medicare Web

Under what circumstances would it be appropriate for a patient who does not meet inpatient criteria to be registered as outpatient receiving observation services?

April 23, 2018

A Comprehensive Error Rate Testing review showed improper coding and insufficient documentation caused most improper payments for E/M services, according to the April 2018 Medicare Quarterly Provider Compliance Newsletter.

April 20, 2018
Medicare Web

Q: How should drug administration services be reported when they cross the midnight hour?

April 20, 2018
Case Management Monthly

Case managers today face significant challenges when working with patients who abuse opioids. According to the American Society of Addiction Medicine’s 2016 figures, some 2 million Americans had a substance use disorder involving prescription pain medicine in 2015, and an additional 591,000 had a heroin use disorder.

April 20, 2018
Medicare Web

The Mississippi State Department of Health in Jackson, Mississippi, recently notified 30,799 patients of an email breach that gave a Centers for Disease Control and Prevention contractor unauthorized access to patient information, according to a press release

April 19, 2018
Medicare Web

Q. Do laptops need to be encrypted if there is no PHI stored on them? Employees do use them to access PHI, but the PHI is stored remotely. We have a policy that states that employees are not allowed to save PHI to laptops.

April 19, 2018
Medicare Insider

This week's note from the instructor is the first article in a series reviewing the coverage, billing, and payment rules for swing bed services. This edition of the series focuses on the definition of swing bed services and general requirements hospitals must meet to provide covered swing bed services. 

April 18, 2018
Medicare Web

How can case managers work through cases where patients leave against medical advice?

April 18, 2018
Medicare Insider

This week’s Medicare updates include a list of new topics proposed for recovery audit review, a final decision memo for an NCD on MRI coverage, notice of the new interest rate for overpayments and underpayments, and more! 

April 18, 2018
Medicare Web

A CMS fact sheet reminds providers to brush up on their MIPS knowledge in regard to the quality performance category. This performance category is worth 50% of providers’ final MIPS score for 2018, and providers who demonstrate improvement from their performance in the category in 2017 could earn bonus points this year.

April 18, 2018
HIM Briefings

Brush up on the Joint Commission's data management session topics before surveyors visit your hospitals. Follow these tips to ensure a successful survey.