With value-based reimbursement, providers now must shoulder the health of the patient no matter where the patient receives care. The ability to share patient information seamlessly between these entities using interoperable technology is the next evolution of healthcare.
Despite the last-minute changes, MOON implementation went smoothly for many hospitals. But the full impact won't be visible until hospitals can determine how, and to what extent, the MOON will play into audits.
Ochsner Clinic Foundation began its ambulatory clinical documentation excellence journey in 2004, when Medicare implemented its Hierarchical Condition Categories (HCC). Since HCCs affect patients’ Risk Adjustment Factor scores, and ultimately reimbursement for the care required to treat sicker patients, Ochsner needed to determine the best way to ensure annual HCC capture for all patients across its vast system.
This month's security Q&A answers readers' questions about accounting of disclosures, providing information to marketing departments, unencrypted emails, and terminating BAAs.
This due digilence checklist will help track and evaluate document requests, warn of privacy and security issues, and provide a basis for determining action plans and resources required to integrate privacy and security programs.
Effective privacy and information security programs start with attention to governance. These eight guidelines will help establish and measure privacy and information security structure and processes.
There is an extensive list of coverage requirements that must be met to furnish outpatient services to Medicare beneficiaries. Hospitals may find that certain coverage requirements for therapeutic and diagnostic service are more difficult to meet than others, especially in off-campus provider-based departments.
Q: Are county entities such as county counsel, public defenders, patient rights advocates, the courts, correctional facilities, and law enforcement required to comply with HIPAA?
Traditionally, the OPPS rulemaking cycle has been the main vehicle for changes to outpatient coding and billing regulations and policy that hospitals need to pay attention to. But increasingly, CMS has been introducing or discussing changes relevant to outpatient hospitals beyond the scope of the OPPS rules.
