December 21, 2018
News & Insights

Q: CMS considered changing its skin substitute payment model in the 2019 OPPS proposed rule. What changes did it finalize?

December 28, 2018
News & Insights

Pagosa Springs Medical Center (PSMC) in Pagosa Springs, Colorado, has agreed to pay $111,400 to the Office for Civil Rights (OCR) and to adopt a substantial corrective action plan in a settlement over alleged HIPAA violations.

December 21, 2018
News & Insights

Baylor Scott & White Medical Center-Frisco, in Frisco, Texas, announced a data breach earlier this month affecting 47,000 patients and guarantors. The breach occurred in September when the hospital found an issue with a third-party vendor’s credit card processing system.

December 20, 2018
News & Insights

Q: Sometimes the emergency department where I work gets so busy we have to evaluate patients before they can be placed in a room. I have seen nurses perform examinations on patients on stretchers in hallways where they can easily be overheard discussing medical histories and treatment options. Would this be considered a HIPAA violation?

December 19, 2018
News & Insights

Hospitals are allowed to publish a list of charges that contains UB-04 revenue codes when complying with 2019 IPPS final rule requirements requiring the publication of standard charges, the American Hospital Association (AHA) said in a regulatory advisory bulletin

December 19, 2018
News & Insights

Q: Who should the case management department report to?

December 18, 2018
News & Insights

The National Committee for Quality Assurance (NCQA) recently announced that it is launching two new population health management programs.

December 17, 2018
News & Insights

Q: I’m working with our contracting staff to negotiate with a new payer. Is there any potentially problematic contract language I should take under further review?

December 17, 2018
News & Insights

Findings from a retrospective analysis of inpatient data recently published in Critical Care Medicine show that average hospital costs and mortality rates are significantly higher for patients diagnosed with sepsis after hospital admission when compared with patients diagnosed prior to admission.

December 14, 2018
News & Insights

Q: Can an ICD-10-CM body mass index (BMI) code be used as a standalone code? If not, what documentation should we look for to justify the use of a BMI code?

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