CMS' Conditions of Participation for UR include specific requirements for the composition of the UR committee, specifying that it must be composed of at least two doctors of medicine or osteopathy.
Breaches of PHI are increasingly in the news and the value of the data stolen is high. The healthcare industry is a significant target when it comes to cyber crime. Standard credit monitoring or insurance does little when it comes to medical identity theft. MIDAS, offered by ID Experts®, is a tool that can assist payers in early detection of medical identify theft and reduce fraud, going where existing tools have yet to go. It is a solution that's unique in today's market.
Q: I realize that you cannot compel your staff to complete Occupational Safety and Health Administration training online on their own time. However, I am wondering whether the same applies for HIPAA training. Must this training be conducted during work hours, or can we provide workforce members with a deadline by which to complete training on their own time?
It has been a long time since The Joint Commission has published frequently asked questions (FAQ), which serve as a great resource for clarification of standards and elements of performance. Generally, FAQs originate with questions from the field that continue to be asked over time.
Conducting pre-billing audits can be challenging, but when done correctly, it can save organizations from spending time recoding and rebilling claims that payers deny. These audits can be conducted on the front end, in both inpatient and outpatient settings, once records have been coded.
Mergers and acquisitions in the healthcare industry are often decided upon and negotiated by C-suite staff with involvement from security and IT professionals. However, significant security implications must be considered by both parties prior to, during, and after a merger or acquisition.
