This week’s Medicare updates include new items added to the OIG Work Plan, an extension for certain payment rate adjustments for low volume and Medicare dependent hospitals, and more!
The variety of sources for commercial insurance requirements can present challenges to the utilization review (UR) specialist, as UR rules for every patient could differ depending on his or her insurance and that insurer’s policies. Apply these lessons to help UR manage commercial insurance requirements.
Critical access hospitals (CAH) and rural health clinics (RHC) provide vital services to their communities, but even in the best of times they can face serious revenue challenges. Ensure these vital facilities are supported by correct, complete billing practices.
This week’s Medicare updates include a notice about how CMS is planning to handle payments for 340B drugs for the rest of the year, an update to the ambulance inflation factor for 2023, the notice of the new interest rate for Medicare overpayments and underpayments, and more!
In August, the Office for Civil Rights (OCR) announced a settlement with New England Dermatology P.C., known as New England Dermatology and Laser Center, over the improper disposal of PHI, which is a potential HIPAA Privacy Rule violation.
