CMS' Conditions of Participation for UR include specific requirements for the composition of the UR committee, specifying that it must be composed of at least two doctors of medicine or osteopathy.
Criminal attacks on the healthcare industry have increased 125% since 2010, and are now the leading cause of data breaches at healthcare organizations, according to the results of a study released by the Ponemon Institute in May 2015. At the same time, the study says many hospitals and business associates (BA) are unprepared and cannot ensure patients' privacy against these attacks.
Breaches of PHI are increasingly in the news and the value of the data stolen is high. The healthcare industry is a significant target when it comes to cyber crime. Standard credit monitoring or insurance does little when it comes to medical identity theft. MIDAS, offered by ID Experts®, is a tool that can assist payers in early detection of medical identify theft and reduce fraud, going where existing tools have yet to go. It is a solution that's unique in today's market.
Lately I've received a lot of questions from hospitals about how to determine when and if it's appropriate to report an E/M visit code on the same date of service as a scheduled procedure.
