Q: I know that there is a mandatory duty to report abuse and neglect to law enforcement, but where is line between protecting patient privacy and a case manager's duty to warn when a patient is in danger of harming themselves?
A recent MLN Matters article clarifies language in the Medicare Claims Processing Manual to match current documentation policy for evaluation and management (E/M) services billed by teaching physicians.
A new survey from McKinsey found that 53% of consumers report being adversely affected by one or more of the social determinants of health (SDoH), and having these needs unmet leads to more emergency room visits and hospital stays.
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+.
