Efforts to educate medical staff members on Medicare or other payer policies can be like herding cats. However, it is necessary to ensure compliance. The case management department cannot improve level of care decisions without cooperation from medical staff members.
The ACMA has received a document from CMS that answers questions that ACMA members posed to the agency about delivering the Important Message from Medicare (IM).
We received more than 700 responses to the 2011 Case Management Monthly Salary Surveyfrom RN case managers (51%), case management directors (23%), case management managers/supervisors (16%), and social work (SW) case managers from all over the country.
HHS' OCR in February began using the new fine structure mandated by HITECH and handed one of the country's most prestigious hospitals, Massachusetts General Hospital (MGH) in Boston, a $1 million penalty for a breach violation.
The company, based in Prince George's County, MD, got hit in February with OCR's first civil money penalty for violations of the HIPAA Privacy Rule-a $4.3 million tab that included $3 million for failing to cooperate with the agency's investigation. OCR determined Cignet acted with "willful neglect" and did not take action to correct the violations, which allowed the agency to impose the highest level of fines based on its tiered penalty structure.
