News & Analysis

October 1, 2014
Briefings on APCs

CMS has instructed MACs to reprocess claims and providers to reimburse beneficiaries due to a miscalculated copayment for stereotactic radiosurgery, according to the October update to the OPPS and Integrated Outpatient Code Editor (I/OCE).

October 1, 2014
Strategies for Healthcare Compliance

To fully understand where your organization's risks lie, you not only need to have a firm grasp on risk analysis and assessment processes, you need to define these processes as well.

July 1, 2014
Briefings on APCs

Adding modifiers to CPT® codes can bypass NCCI edits for Medicare payments, but they're often misapplied.

May 1, 2014
Briefings on HIPAA

You hear it over and over again. Covered Entity (CE) A failed to produce an ongoing risk assessment for HIPAA security compliance. CE B had an incomplete risk analysis, leading to a failure to recognize security weaknesses and vulnerabilities. And in come the fines.

March 1, 2014
Strategies for Healthcare Compliance

When Shallie J. Bryant, CHC, CHPC, went to work at CaroMont Health in North Carolina more than two years ago, her biggest challenge was creating a culture of patient privacy.

February 11, 2014
Medicare Insider

We are four months into the new fiscal year and the Office of Inspector General (OIG) has finally released its highly anticipated Work Plan. Click the link above for more information and an in-depth analysis.

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