Hospitals earned a big win with drug payments this year in the 2013 OPPS final rule, released November 1. CMS decided to finalize its proposal to follow the statute and reimburse facilities at the average sales price (ASP) plus 6%.
Despite efforts to prevent data breaches in healthcare, they continue to cause alarm. Almost 20 million patient health records have been compromised in the past two years, according to statistics from HHS.
There are six generic approaches to managing risk, and the approach an organization chooses to use will depend on many factors. For example, how real is this risk? Can it actually become a problem, or is it merely theoretical? Management will want to decide whether the risk is likely to happen and whether it is possible to determine when it may happen. This will also assist in appropriate allocation of resources to focus on material risk areas.
One thing is certain: You don't want to wait until you receive a notification letter from OCR before you begin preparing for a HIPAA audit, says Dena Boggan, CPC, CMC, CCP, HIPAA privacy/security officer at St. Dominic Jackson (Miss.) Memorial Hospital.
As an HIM professional, you have long managed the quality and integrity of the health record. You know all components inside and out, aid in the design of forms to accurately and completely capture the necessary information, and point out potential data discrepancies in the record prior to finalization.
It's December, the end of a long 2012 for you and your HIM staff. Whether you have 50 coders or five, you may be putting the final touches on an end-of-the-year celebration.
