News & Analysis

May 1, 2014
Strategies for Healthcare Compliance

The HITECH Act, which included changes to the HIPAA Privacy and Security Rules, was signed into law by President Obama in February 2009?a full five years ago.

May 1, 2014
Strategies for Healthcare Compliance

What is the privacy and security governance structure like at your organization?

May 1, 2014
Strategies for Healthcare Compliance

The role of the utilization review (UR) committee has changed as facilities transition from reporting condition code 44 for concurrent reviews to condition code W2 for post-discharge reviews.

May 1, 2014
Briefings on APCs

In January, I wrote about the perfect storm that led to the release of the 2014 OPPS final rule.

We endured a later-than-usual release, errors in the data files and a release of updated files, a government shutdown, and a vastly shortened window between the release of the final rule and implementation on January 1. Judging by the confusion among providers?and corrections and clarifications coming from CMS on what seems like a weekly basis on a wide range of issues?we're still not in the clear.

April 29, 2014
Medicare Insider

This week’s note is about coding, billing, and payment for skin substitute products. Click the link above for more information and an in-depth analysis.

April 15, 2014
Medicare Insider

This week’s note is about updated CMS guidelines for proper billing of discarded outpatient drugs. Click the link above for more information and an in-depth analysis.  

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