April 25, 2019
News & Insights

Q: Can a covered entity be fined for HIPAA violations even if there has not been a breach of PHI?

April 23, 2019
News & Insights

More than 54 million people are impacted by workplace bullying or incivility in the United States, and the high incidence of these distressing behaviors in healthcare poses grave risks to clients and the workforce.

April 18, 2019
News & Insights

Q: If a patient requests copies of his or her medical record, which is allowed by the Privacy Rule, is the patient required to pay for the copies?

April 17, 2019
News & Insights

CMS will expand coverage of telehealth services under Medicare Advantage effective January 1, 2020.

April 17, 2019
News & Insights

Q: Do you have any advice for helping a case management team improve workflows between the inpatient and ambulatory setting?

April 16, 2019
News & Insights

Courtesy of the prevalence of traumatic brain injuries in the military and across sports, this diagnosis has hit the mainstream, and case managers are challenged by a vast range of circumstances and factors they must take into consideration.

April 15, 2019
News & Insights

Provider participation in the BPCI Advanced program fell by 16% between October 1, 2018, and March 1, 2019, at the initiation of the risk-bearing phase of the voluntary payment program. Overall participation includes nearly 1,300 providers still participating, according to CMS.

April 12, 2019
News & Insights

Q: How does CMS' 14-day rule interact with its new molecular pathology/advanced diagnostic laboratory test policy?

April 12, 2019
News & Insights

CMS released a bulletin April 10 on behalf of HHS seeking providers to participate in a volunteer Provider Pilot Program to test the process for reviewing compliance with its HIPAA Administrative Simplification rules.

April 11, 2019
News & Insights

Q: I’m a benefits administrator, and I got a call from human resources about an email she received from an employee about a procedure performed by her physician that was not covered by her insurance. Can I discuss the case with human resources? Or should I talk directly to the employee?

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