News & Analysis

March 1, 2015
Briefings on APCs

Editor's note: With the increased specificity required for ICD-10-CM coding, coders need a solid foundation in anatomy and physiology. To help coders prepare for the upcoming transition, we will provide occasional articles about specific anatomical locations and body parts as part of a larger series for ICD-10-CM preparation. This month's article addresses the anatomy of the urinary system.

March 1, 2015
Strategies for Healthcare Compliance

Q: My facility no longer registers patients under aliases, but will allow them to opt out of the patient directory. However, opting out of the registry will not exclude our patients from the operating room (OR) list. At one time, the facility's CEO received the daily OR list with full patient names so he could visit board members, donors, or others whom he knows at our facility. HIM changed this practice so that patients' names would not be on the OR schedule provided to the CEO. The CEO took this matter to the hospital attorney, who said the names could be included because the use of PHI by the CEO to determine whether and when a patient visit is appropriate is permitted by HIPAA as it is part of healthcare operations. Is it a violation of HIPAA for the CEO to use PHI to track patients in this manner?

March 1, 2015
Briefings on APCs

Our experts answer questions about edits when reporting blood tests, updated vaccine codes, and more.
 

February 24, 2015
Medicare Insider

This week’s updates include durable medical equipment modifiers and an update to the federally qualified health centers PPS. Click the link above to read more about this week’s updates.

February 24, 2015
Medicare Insider

This week’s note is about inpatient psychiatric billing. Click the link above for more information and an in-depth analysis. 

February 17, 2015
Medicare Insider

This week’s updates include a RAC specific denial code and an oncology care model. Click the link above to read more about this week’s updates.

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