Providers were glad to see CMS' ruling (CMS-1455-R) released March 13 (published in the Federal Register on March 18), which allows full Part B payment for inpatient stays that had been denied as not reasonable and necessary. The ruling had very few details on how the process would work, but on March 22, CMS published Transmittal R1203OTN instructing contractors and providers on the details.
Not only do case managers have a role to play when inmates are treated at their facilities, but they can also help former prisoners get ready to reenter society.
The HIPAA Privacy Rule de-identification standard-Section 164.514(a)-includes two methods by which health information can be designated as de-identified: expert determination and safe harbor.
Editor's note: The commentary in this article was originally presented in the HCPro, Inc., February 7 audio conference, "The Pediatric Medical Record: Opportunities for Documentation Improvement." Learn more about the audio conference at http://tinyurl.com/bbh9yl5.
