Payers rely heavily on the use of data and data analytics to manage their risk. Follow these tips for using payer guidelines to understand what they’re looking for and how to improve documentation.
CMS recently released new documentation guidance on medical review of E/M services performed by medical students. A medical student may document E/M services if the physician performs or re-performs the exam and then verifies the student’s documentation.
CMS began rolling out new cards to Medicare beneficiaries in April and recently announced that wave one of the mailing has been completed. The new cards are intended to help protect beneficiaries’ Social Security Numbers.
The HIPAA Security Rule requires information systems activity review, but a number of covered entities and business associates have yet to implement a robust security program that includes monitoring audit logs. Per the preamble to the Omnibus Rule, if audit logs are generated and you’re not looking at them periodically, that could be considered willful neglect.
