Q: I'm in charge of a coding audit for our department for the first time and trying to determine how many cases to use as a sample. What factors should I consider when choosing the sample?
Information for 63,551 patients for Middletown Medical, a multispecialty physician group in Middletown, New York, was exposed due to a misconfigured security setting on a radiology interface.
Much of the population health model is relatively new. Some of the work is based on other models, particularly the public health model. We know how important an efficient case management structure is to the success of the population health model. How does an organization not only change the model of case management but sustain the change and continue to evaluate its success?
Q: We are a doctor’s office in a small town. Recently, one of our patients threw away some papers containing PHI in a wastebasket in the waiting room. Another patient’s child later took them out of the wastebasket. The child’s parent brought the papers up to the desk and apologized. Is this a privacy breach? Are we responsible for the papers even though we turned them over to the patient?
Medicare billing edits such as National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUE) must be resolved at their root cause so that they do not continue to occur on claim
