News & Analysis

September 6, 2016
News & Insights

Is there any reason why an inpatient-only procedure would be performed on an outpatient?

September 2, 2016
News & Insights

CMS wants your thoughts on its 2017 OPPS proposed changes. In various places in the proposed rule, CMS specifically asks providers to comment on the proposals. You may submit comments to the agency until September 6.

 

September 1, 2016
Briefings on HIPAA

Cyber threats continue to grow and evolve, but most share a similar origin: phishing. Phishing emails, seemingly innocuous or legitimate emails used to infiltrate an organization, are a common source of malware and are used for scams in which a criminal impersonates another individual to obtain sensitive information. A study released in March by PhishMe estimated that up to 93% of phishing emails contain ransomware.

Although the damage phishing emails can do is tremendous, security officers can help their organizations turn the tide by using a combination of technical controls and targeted education.

The danger and the success of phishing emails lies in their ability to manipulate the individual on the receiving end. Phishing emails may be sent from domains that are a near-identical match for an organization's and come with what appear to be legitimate and urgent attachments or links. It's a simple scheme that criminals can use for a variety of purposes.

"They hope to get malware installed so they can control the computers they infect or even the entire network. They hope to get network or application login credentials. They hope to trick people into performing certain actions, i.e., a wire transfer of money," Kevin Beaver, CISSP, independent information security consultant at Principle Logic, LLC, in Atlanta, says. "The possibilities are endless."

September 1, 2016
Case Management Monthly

Assigning the correct patient status is a constant challenge for hospitals and the case managers who are charged with ensuring these decisions are accurate. 

September 1, 2016
Case Management Monthly

Hospitals were struggling this summer to comply with the Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act, which was signed by President Barack Obama August 6, requiring hospitals to provide a verbal and written notice of outpatient status to any patient in observation who has been in the hospital for more than 24 hours.

September 1, 2016
Case Management Monthly

Physician advisors (PA) are an important ally for case managers at many organizations when it comes to ensuring proper patient status. But one organization has greatly expanded the role of PAs to include performance improvement and as a result has seen improvements in everything from readmissions to length of stay.

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