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.
Q: How does the Supplemental Medical Review Contractor determine which reviews to perform? Does SMRC work for CMS or our Medicare Administrative Contractor?
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: If a patient accidentally puts the paperwork in the trash or on the table, and the information on the paperwork is visible to other patients or family members, is it a HIPAA violation?
CMS' Bundled Payments for Care Improvement Advanced model will qualify as an Advanced Alternative Payment Model under the Quality Payment Program and include outpatient episodes.