News & Analysis

October 11, 2016
Medicare Insider

This week’s Medicare updates include the release of the October 2016 Medicare Quarterly Provider Compliance Newsletter; OIG reports on Medicare payments for clinical diagnostic laboratory tests; Reform of Requirements for Long-Term Care Facilities; and more!

October 1, 2016
Briefings on HIPAA

As OCR's auditors wrap up the final desk audit reports for phase two of the HIPAA audit program, many covered entities (CE) are breathing a little easier. Only 167 CEs were selected for desk audits in July. Audited CEs can expect to wait several months to see the final audit reports, although they will have the opportunity to review a draft version and submit comments that will be attached to the final report.

But phase two is far from over. Business associates (BA) will be selected for desk audits this fall—the first time these entities will be subject to OCR's HIPAA audits. And early next year, OCR will launch comprehensive on-site audits of both CEs and BAs.

September 28, 2016
Medicare Insider

This week’s Medicare updates include a story about the OIG levying its largest penalty under a corporate integrity agreement against nation's biggest provider of post-acute care; a fact sheet and press release about moving Medicare Advantage and Part D forward; and more!

September 23, 2016
Medicare Web

What is the current status of the Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIO) short-stay reviews?

August 1, 2016
Case Management Monthly

There's good news and bad news on the 2-midnight rule front. The good news: CMS has put short-stay inpatient audits related to the 2-midnight rule on hold as of May 4. The bad news: This isn't a free pass, and it isn't going to last.

July 26, 2016
Medicare Insider

This week’s updates include the quarterly update to the CCI edits; denial codes for missing or insufficient documentation; and more!

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