Findings from an Office of Inspector General (OIG) audit show that Essence Healthcare Inc. submitted claims with high-risk ICD-10-CM codes for acute stroke and major depressive disorder that did not comply with federal requirements, resulting in at least $158,000 in overpayments to Medicare Advantage.
The Washington legislature unanimously passed a bill in April that will shorten the state’s data breach notification time to 30 days, which is half the time required by HIPAA.
Q: Sometimes providers at our facility perform multiple, separate administrations of hydration that are less than 30 minutes each. Can coders add the separate infusion times together when assigning time-based CPT codes for hydration administration?
Q: Does HIPAA require encryption when sharing data over the internet? Should data be encrypted when it is being emailed to someone at the same facility?
Although the Comprehensive Primary Care Plus (CPC+) model saw high rates of provider participation and support from CMS , it had minimal impact on care outcomes or cost in 2017, according to the first annual report on CPC+.
The ease of practitioners to transfer active professional licenses to others states is a longstanding issue across the industry, and this issue of licensure portability tests the patience and fortitude of case management professionals.
On April 18, the Office of Civil Rights (OCR) added five new answers to their FAQ section on the relationship between HIPAA and health apps that use patient information.
CMS’ fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) proposed rule, released April 23, includes a proposed increase to hospital payment rates, annual ICD-10-CM/PCS code update proposals, and significant changes to complication or comorbidity (CC)/major complication or comorbidity (MCC) and Medicare-Severity Diagnosis-Related Group (MS-DRG) designations.
Q: Does CMS' molecular pathology/advanced diagnostic laboratory test date of service policy apply to Traditional Medicare only or does it also apply to Medicare Advantage?
