Once you understand the basics of privacy and disclosure of PHI under HIPAA, strive to keep staff trained. According to Section 164.530 (b) of the Privacy Rule, a covered entity must train all members of their workforce on the policies and procedures with respect to PHI as necessary and appropriate.
Provider participation in the BPCI Advanced program fell by 16% between October 1, 2018, and March 1, 2019, at the initiation of the risk-bearing phase of the voluntary payment program. Overall participation includes nearly 1,300 providers still participating, according to CMS.
Are you double-checking that your patients being discharged to skilled nursing facilities (SNF) meet the three-day inpatient stay requirement? You might want to take a closer look if you aren’t, in light of a February report from the Office of Inspector General that found CMS paid out potentially millions of dollars for beneficiary stays that didn’t qualify under the rule.
CMS released a bulletin April 10 on behalf of HHS seeking providers to participate in a volunteer Provider Pilot Program to test the process for reviewing compliance with its HIPAA Administrative Simplification rules.
Q: I’m a benefits administrator, and I got a call from human resources about an email she received from an employee about a procedure performed by her physician that was not covered by her insurance. Can I discuss the case with human resources? Or should I talk directly to the employee?
