Medical City Hospital (MHC) in Dallas asked its core measurement teams for acute myocardial infarction (AMI), pneumonia, and heart failure to develop readmission reduction processes for each condition.
Organizations have had their chance to weigh in on the proposed accounting of disclosures rule, and some larger ones don't exactly see it working as written. Here is what some organizations had to say.
CMS has proposed to rescind the requirement for signatures on all lab requisitions, according to the "Medicare Program; Clinical Laboratory Fee Schedule: Signature on Requisition" proposed rule published in the Federal Register June 30. The 2011 Medicare Physician Fee Schedule, published last November, requires a physician's or nonphysician practitioner's (NPP) signature on lab requisitions for tests paid under the clinical lab fee schedule, regardless of whether there is a signed order. This is the opposite of prior CMS rulings that indicated signatures were not required on requisitions, although written and signed orders were required.
The Program for Evaluating Payment Patterns Electronic Report (PEPPER), distributed either quarterly or annually depending on the type of facility, contains large amounts of data on how a facility compares to others in the same state, the same jurisdiction (i.e., the same Medicare Administrative Contractor), and nationwide in terms of coding and medical necessity target areas. (Find out more at www.pepperresources.org.)PEPPER identifies when facilities are outliers in their reporting of multiple risk areas. For coding, those areas are:
Q Our authorization form for release of information requires patients to sign separate lines to authorize release of sensitive information, such as sexually transmitted diseases, substance abuse, and genetic information. We understand that very few other covered entities do this. Is this a legal requirement? And if so, may we change our form to state that all information will be released unless the patient indicates otherwise?
Breaches are expensive, and the price tag increases when preparation and formal documentation are lacking. Identity Theft Guard Solutions, LLC, in Portland, OR, doing business as ID Experts, has introduced a do-it-yourself breach assessment, monitoring, and investigation tool called RADAR™ that helps reduce costs associated with lack of preparation, breach investigation, notification, and documentation.
