Q: At the doctor's office where I work, patients are often friends or family members of staff. I heard in passing that my co-worker's boyfriend was coming in for an appointment later that day, when I mentioned it to the co-worker, she said she would be filing a complaint for a HIPAA violation. Is this really a HIPAA violation?
A case manager returns to work at the start of the new year only to find that two of his patients’ commercial insurances had implemented new discharge planning and utilization review rules effective January 1.
Community Hospital in Munster, Indiana, is disputing an Office of Inspector General (OIG) report that found DRG assignment errors and incorrect inpatient rehabilitation facility (IRF) claims, resulting in an projected $22,051,602 in overpayments.
This week’s Medicare updates include an OIG review of skilled nursing facility services and the three-day inpatient hospital stay requirement; the release of the 2019 hospital OPPS two times run document; a transmittal about new HCPCS codes subject to and excluded from CLIA edits; and more!
