News

A recent population health study found that socioeconomic conditions affect leading cause of death on a county level. While national trends show that cancer will soon replace heart disease as the leading cause of death nationwide, researchers found that heart disease is still more likely to be the leading cause of death in lower-income counties.

Q: Where can I find information on utilization review (UR) requirements for Medicare Advantage (MA)?

Approximately 16,000 patients of Mind and Motion Developmental Centers of Georgia had their protected health information compromised after a ransomware attack on a server at the facility.

Q: What 2019 CPT updates were made to E/M codes for interprofessional telephone and internet consultations?

Q: A patient recently told me she was surprised to learn from another physician at our facility that her adult child had been prescribed a particular medication for high cholesterol. Her child is not a dependent adult under her care. Is it a HIPAA violation for a provider to discuss the care of non-dependent adult children with their parents?

Q: What silos do I need to be aware of as a case manager in a behavioral health clinic?

Revenue integrity auditors can monitor multiple priorities more efficiently with data analytics and decision support systems.

Q: Are there any new comprehensive APCs (C-APC) in 2019?

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

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.