Cybercrime is up in the healthcare industry, and it’s a good idea to make sure you’re ready to respond to cyber incidents. The key to speedy mitigation is to have a security incident response plan, test the plan, and make sure it works as you exercise it. Having a plan is also a HIPAA Security Rule requirement.
Many case management and finance departments have been busy with appeal activities since CMS resumed its regulatory audits on August 3, 2020. Utilization review (UR) nurses are reporting increasing numbers of commercial denials as the coronavirus (COVID-19) pandemic is resolving.
CMS should rescind denials recently issued to certain off-campus provider-based departments (PBD) that applied for the mid-build exception under the 21st Century Cures Act, the AHA said in a March 25 letter to CMS.
