This week’s Medicare updates include the October edition of the Medicare Quarterly Compliance Newsletter, a pair of requests for information on potential usage of artificial intelligence to prevent fraud, Medicare Advantage billing instructions for CAR-T therapy, and more!
This spring, CMS changed the scope of work for their Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIO) Livanta and Kepro, which became effective June 8. The QIOs’ responsibilities were narrowed to focus primarily on discharge appeals, quality complaints, and real-time advocacy for Medicare patients and families.
Jackson Health System was fined $2.15 million for HIPAA violations that included an employee selling patient information for years, an incident in which an NFL player's PHI was shared with an ESPN reporter, and more.
