The majority of breached patient records in January were due to hacking and insider-related incidents, according to a report by Protenus, which analyzed the 37 health data breaches reported to the Office for Civil Rights (OCR) in January. The hacking incident which had the biggest impact occurred at Oklahoma State University Center for Health Sciences, where an unauthorized third party gained access to the computer network, and thus access to Medicaid patient billing information.
Efficient, correct, and compliant release of information (ROI) processes are necessary to support patient care, legal processes, reimbursement, and patients’ rights. Give ROI staff and leaders a shot of energy with targeted training that adapts to their needs. Succinct modules, interaction, and a positive attitude can have a ripple effect on the department.
Q: Does a hospital need to obtain the patient's written consent before obtaining physician office notes? Can I contact the physician office and request the needed information without obtaining a written consent from the patient? The office notes are needed for payment purposes.
In the 2018 OPPS final rule, CMS finalized a change to the current clinical laboratory date of service policies for outpatient molecular pathology tests and advanced diagnostic laboratory tests.
CMS, the Veterans Health Administration, and some states measure our care quality based on risk-adjusted readmission rates after inpatient admissions. In fact, up to 3% of our hospital’s Medicare inpatient revenue (used to pay physician subsidies) is at risk if we don’t manage our patients’ readmissions in concert with Medicare’s algorithms.
