In a time when so much attention is focused on issues such as cyber security and the dangers posed from evolving technology, it's easy to forget the HIPAA basics, such as the need for workforce members not to gossip or chitchat about patients with other staff members or people in the community.
In January 2013, CMS introduced 42 therapy functional reporting G codes (nonpayable). These G codes are to be reported in conjunction with therapy services (physical, occupational, and speech). CMS also introduced seven complexity/severity modifiers to be used with these G codes.
Providers setting charges based on an understanding of their costs is not a new concept, says Jugna Shah, MPH, president and founder of Nimitt Consulting. However, providers struggle with this or fail to do it correctly, and then stand to deteriorate their future payment rates since CMS relies on provider data to set payment rates not only for inpatient and outpatient services, but also for laboratory services.
At 2:50 p.m. on Monday, April 15, two bombs went off at the finish line of the 117th annual Boston Marathon. Three people were killed, hundreds were injured, and local case managers needed to help deal with the crisis.