This week’s Medicare updates include the quarterly Medicare Provider Compliance Newsletter, the rescinding of some of the COVID-19 PHE waivers, the 2023 Medicare Advantage and Part D Rate Announcement, and more!
Case managers play an important role both inside the hospital and working with outpatients. But often they work in isolation, rather than coordinating care between the settings to improve patient outcomes.
Privacy expert Rebecca Herold, FIP, CIPM, CIPP/US, CIPT, CISSP, CISM, CISA, FLMI,CEO and founder of The Privacy Professor, and co-founder of Privacy & Security Brainiacs, recommends some key actions for practitioners to identify vulnerabilities in their security and privacy practices.
Denials management has gained new urgency as payers adopt more aggressive tactics and hospitals continue to face revenue shortfalls. Learn how organizations are structuring denials management and reporting denials and appeals data.
According to the Office for Civil Rights, the most commonly alleged HIPAA complaints include impermissible uses and disclosures of protected health information (PHI), lack of PHI safeguards, lack of patient access to PHI, lack of administrative safeguards of electronic PHI, and use or disclosure of more than the minimum necessary PHI.
The GPDC Model is getting a new name and a new purpose. It’s being renamed the ACO REACH Model. It also has a new focus of improving care for Medicare participants through better coordination.
