This week’s Medicare updates include payment adjustment information from the Consolidated Appropriations Act, revisions to information in the COVID-19 billing FAQ document, a notice of funding opportunity for development of radiology quality measures, and more!
Q: We're seeing a significant increase in pre-payment audit activity. How can we adapt our audit and denial management processes to cope with this shift?
As many anticipated, the Department of Health and Human Services (HHS) has pushed out a flurry of proposed rules in the months leading up to the Trump administration’s departure. Among them is a Notice of Proposed Rulemaking (NPRM) that would make significant changes to the HIPAA Privacy Rule.
It’s safe to say few people are sad to see 2020 go. The question is, what will 2021 bring? To help you prepare for what the new year may bring, we asked some experts for their predictions and recommendations on what case managers might expect and prepare to focus on in 2021.
Q: What are the benefits to having coders review charts for appropriate capture of CCs and MCCs, and how can our coding team get started in this process?
Q: If we end a contract with a business associate (BA), does the BA need to provide us with assurance that all protected health information (PHI) has been destroyed? Is this something that should be written into the initial contract? What are the steps to take if the BA does not respond to requests to confirm deletion of PHI?
