News & Analysis

October 1, 2018
Briefings on HIPAA

Most covered entities still use mailings to communicate with patients and members, so it is worth revisiting Aetna's 2017 mailing breach and the surrounding litigation to understand where negligence occurred and to take away some valuable lessons learned.

October 1, 2018
Briefings on APCs

Our coding and billing experts answer questions about charging for E/M services after canceled procedures, reporting global maternity care, and more.

October 1, 2018
Briefings on APCs

Developing an outpatient CDI program isn't just about metrics--departments needs to consider how to engage providers and interact with other teams to be truly effective.

October 1, 2018
Briefings on APCs

As coders mark the third anniversary this October of the U.S. implementation of ICD-10, its newly minted successor is waiting in the wings, nearly ready for adoption. 

October 1, 2018
Briefings on APCs

It's been more than three years since CMS introduced a subset of modifiers it wants providers to report instead of modifier -59 (distinct procedural service), but they're still optional as barely any new guidance has been released.

September 28, 2018
News & Insights

UMass Memorial Medical Group Inc. and UMass Memorial Medical Center Inc. reached a $230,000 settlement with the state of Massachusetts in response to two data breaches that exposed the personal health information of more than 15,000 Massachusetts residents.

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