HIPAA lays out specific requirements for breach response and reporting. Although most organizations might understand these requirements in theory, compliance is often tricky in practice.
At the start of 2018, it’s time to take stock of billing compliance risks that may affect your organization in the new year and patch potential holes before they become a problem.
Fresenius Medical Care North American (FMCNA), a multistate clinic and provider network specializing in chronic kidney failure treatment, agreed to a $3.5 million HIPAA violation settlement.
Q: How does the Supplemental Medical Review Contractor determine which reviews to perform? Does SMRC work for CMS or our Medicare Administrative Contractor?
This week's note clarifies the rules, regulations, and provider considerations to take into accounting following CMS' decision to remove total knee arthroplasty from the inpatient-only list.
