News & Analysis

January 1, 2015
Strategies for Healthcare Compliance

Q: If someone calls a facility to schedule an appointment for a patient, is it a violation of HIPAA to admit the patient receives care at the practice? For example, the practice where I work often helps victims of domestic abuse. We received a call from a patient's estranged spouse who asked to schedule an appointment for the patient when, in reality, he was trying to determine the whereabouts of his spouse so he could harm her. I realize this is a safety issue but wonder whether it is also a HIPAA issue.

January 1, 2015
Strategies for Healthcare Compliance

The new ICD-10 implementation date is less than a year away, and CMS is gearing up its end-to-end testing process in preparation.

January 1, 2015
Strategies for Healthcare Compliance

Mobile devices have changed the way people share and access information in their personal and professional lives. Smartphones and tablets may make it easier and faster for people to communicate, store, and access information, but they present risks if lost, stolen, or hacked. This can be especially challenging in the healthcare industry as it has become common for providers to use various mobile tools, including smartphones, laptops, notebooks, tablets, phablets, personal digital assistants, USB devices, digital cameras, and radiofrequency identification devices, to communicate with colleagues and access applications.

January 1, 2015
Briefings on APCs

Our experts answer questions about outpatient queries and documentation for HCCs.

January 1, 2015
Briefings on APCs

As CMS pushes the OPPS from a fee-for-service program toward more of a true prospective payment system, financial impact analysis of changes, departmental budgeting, and forecasting has become more complicated each year.

January 1, 2015
Briefings on APCs

CMS proposed that a new HCPCS modifier be appended to every code for a service furnished in a hospital's off-campus provider-based department on both the CMS-1500 claim form for physicians' services and the UB-04 form (CMS Form 1450) for hospital outpatient services in the 2015 OPPS proposed rule. Despite many detailed comments opposing this change, no consensus emerged; therefore, CMS is moving forward with implementing a slightly modified policy.

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