This week Medicare Insider is featuring an excerpt from Patient Status Training Toolkit for Utilization Review by Kimberly Anderwood Hoy Baker, JD, regulatory specialist for HCPro.
This week’s updates include reporting principal and interest amounts when refunding previously recouped money on the Remittance Advice; Changes to the laboratory NCD edit software for July 2016; and more!
Q: Rural health clinics have to start to bill all services on individual lines with HCPCS codes and charges. Is there a way to report these services on a separate line without the appearance of inflating our charges?
Research shows that ethnic and racial minorities may wind up back in the hospital after discharge more often than their white counterparts for certain conditions, such as pneumonia and heart failure. This increased rate of readmissions is due to many factors, including:
A higher incidence of some chronic diseases
Social, economic, cultural, and linguistic barriers to care
CMS is hoping to change that with a new publication, "Guide to Preventing Readmissions Among Racially and Ethnically Diverse Beneficiaries." Its authors said that the guide aims to accomplish three main goals:
Providing an overview of the issues that can lead to higher readmission rates among this group
Outlining actions hospital leaders can take to reduce these avoidable readmissions
Providing case studies and examples of initiatives that have worked to reduce readmissions among racial and ethnically diverse Medicare beneficiaries
Subpoenas are a sometimes-unwelcome fact of life for privacy officers. They can be complicated, requesting broad amounts of information that is time-consuming to gather. They can be written in dense legal language that takes time and finesse to decipher. If a subpoena requests PHI, it can also raise privacy concerns and questions about how to honor the subpoena while releasing only the necessary information. Some subpoenas may request information that an organization considers sensitive for other reasons. It can be all too easy to put off dealing with a subpoena until the last minute, then rushing to react without taking the time to really read and understand what it says.
