News & Analysis

August 2, 2019
Medicare Web

The January 1, 2020, deadline for reporting Appropriate Use Criteria (AUC) for advanced diagnostic imaging is fast approaching—but organizations can’t wait until the new year to prepare.

August 1, 2019
Briefings on HIPAA

OCR in 2013, through the Health Information Technology for Economic and Clinical Health (HITECH) Ac,t issued a final rule identifying provisions of the HIPAA rules that apply directly to business associates (BA) and those provisions for which BAs are directly liable.

August 1, 2019
Briefings on APCs

Behavioral health is a highly specialized area of coding that many coders and billers are unfamiliar with. There are hundreds of ICD-10-CM codes for mental disorders with unique characters to specify symptoms and complications.

August 1, 2019
Briefings on APCs

Even if a hospital is not a teaching hospital, it may have services that require National Clinical Trial (NCT) reporting. It is logical for revenue integrity leadership to own this issue, but an explanation of the requirements for NCT reporting should be shared with all staff within the revenue cycle so there is a better appreciation of the fact that clinical trial billing rules apply more broadly than merely just to research or clinical trial studies.

August 1, 2019
Medicare Insider

This week's note from the instructor checks in on the current status of the 340B court case in light of CMS' request for comments in the 2020 OPPS proposed rule on ways to remedy the 340B reimbursement adjustments. 

August 1, 2019
Briefings on HIPAA

HIPAA training is required by the HIPAA rules, under § 164.530, Administrative requirements. But just because it’s required doesn’t mean it has to be repetitive, boring, or unappealing. There are ways to make your healthcare staff excited about HIPAA training. At the very least, you can do your part to make sure they’re engaged.

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