Case managers in the primary care setting are on the rise, in part due to the role they play in patient engagement as well as the emphasis they place on quality of care in today’s value-based healthcare landscape, according to CMSA Today.
A Comprehensive Error Rate Testing review showed improper coding and insufficient documentation caused most improper payments for E/M services, according to the April 2018 Medicare Quarterly Provider Compliance Newsletter.
Under what circumstances would it be appropriate for a patient who does not meet inpatient criteria to be registered as outpatient receiving observation services?
A CMS fact sheet reminds providers to brush up on their MIPS knowledge in regard to the quality performance category. This performance category is worth 50% of providers’ final MIPS score for 2018, and providers who demonstrate improvement from their performance in the category in 2017 could earn bonus points this year.
Q: I work for a hospital with a geriatric psychiatry unit. Many patients are discharged to nursing homes. Often, nursing homes contact the hospital for patient information, but we have only the patients' psychiatric records and are hesitant to send them. Is it permissible under HIPAA to send this information to a nursing home for continued care?
SamSam ransomware is the cause of eight cyber-attacks that have affected government and healthcare organizations this year, according to an HHS report. SamSam ransomware attacks began in 2016 with instances of the encrypted “.weapologize” extension infecting at least 10 entities since December 2017.
