Sending out a mass mailing of a pamphlet that contained Medicare beneficiary numbers resulted in a civil monetary penalty of $6,768,000 for Triple-S Salud, Inc. (TSS), a Puerto Rican health insurance subsidiary.
Hospitals have a little more time to get a firm grasp on CMS' 2-midnight rule. CMS recently extended the probe and educate review period for the rule by six months, through September 30, 2014.
Hospitals can make better use of their electronic health record (EHR) system's audit functions not only to guard patient privacy but also to help prevent healthcare fraud, according to a new HHS Office of Inspector General (OIG) report.
The January 2014 quarterly I/OCE update included nearly 400 new HCPCS Level II codes, but the most significant changes for providers may center on relatively few codes, as a result of modifications CMS made in the 2014 OPPS final rule.
