February 15, 2018
News & Insights

Q: Are we required to explain why a vulnerability was not addressed or was deemed low priority in the risk management plan? If so, are there any examples of acceptable ways to document this per OCR?

February 14, 2018
News & Insights

An OIG audit of the University of Michigan Health System revealed noncompliance with four types of inpatient claims, including those associated with billing of DRGs, and two types of outpatient claims, including those billed with modifier –59 (distinct procedural service).

February 13, 2018
News & Insights

Historically, the social work profession resisted the change from manual documentation to tem­plate-based tools, but with the growing emphasis on quality and reducing hospital readmissions, social workers need to utilize case management assessments as a way to communicate risk and pertinent patient details. 

February 14, 2018
News & Insights

How can case management assist in data collection and benchmarking?

February 12, 2018
News & Insights

What are some examples of hospital departments that do not furnish clinical services and would not be considered provider-based?

February 9, 2018
News & Insights

Partners HealthCare System, Inc., notified more than 2,000 patients on February 5 that their protected health information may have been affected by a breach in 2017.

February 9, 2018
News & Insights

Q: What should we report if you have a compression dressing that was applied to the thigh, in addition to the lower leg, since CPT code 29582 (multi-level compression bandage application, thigh to foot) was deleted for 2018? 

February 8, 2018
News & Insights

Q: I work at a marketing company, and we are trying to figure out what exactly we can put on a postcard. What is required, per HIPAA regulations, to be fully compliant if we were to do things like dental patient reminders? We would have patient information from the offices. How would we need to handle that information? What are we allowed to include in our designs?

February 7, 2018
News & Insights

CMS recently released guidance on submitting claims and filing appeals as it rolls out its new Medicare cards. The new cards will replace the Health Insurance Claim Number, which is based on the beneficiary’s Social Security Number (SSN), with a Medicare Beneficiary Identifier that is not tied to the beneficiary’s SSN.

February 6, 2018
News & Insights

High-risk opioid users are less likely to get a disproportionate quantity of opioid prescriptions from the emergency department than they are at an office visit, according to a recent study in Annals of Emergency Medicine.

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