CMS released MLN Matters SE19007 on June 28, announcing that it completed round three testing of the activation of systematic validation edits for OPPS providers with multiple service locations. To allow enough time to analyze collected data, the agency is postponing implementation of the edits until October.
Anne Arundel Medical Center in Annapolis, Maryland, will pay $3,154,000 to settle allegations that it submitted false claims to Medicare for medically unnecessary evaluation and management services and separately billing bundled procedures
A study published in the Journal of the American Geriatrics Society on June 12 suggests home-delivered meal programs could provide an alternative avenue for monitoring changes in older adult meal recipients’ health, safety, and well-being.
Q: Our utilization review (UR) committee originally took a more strictly peer review role but over time its scope and responsibilities have broadened. We're not sure that it still makes sense for the UR committee to be categorized as a subcommittee of the medical staff. What is the current recommended reporting structure for a UR committee?
A Senate bill aims to create regulations that would fill in gaps left by HIPAA to protect consumers’ private health data collected by health tracking devices, apps, and DNA testing kits.
