November 2, 2017
Medicare Web

Despite opposition from many stakeholders, a bipartisan contingent of Congress, and CMS’ own advisory panel, the agency is moving forward with its plan to drastically cut payments for drugs acquired through the 340B drug discount program, according to the 2018 OPPS final rule, released November 1.

November 2, 2017
Medicare Web

Q: I work for a home health agency. They’ve recently instructed us not to wear scrubs, lab coats, or anything that could obviously identify us as healthcare professionals. They’ve asked us to wear more business/professional casual attire because some patients complained that their neighbors saw nurses coming into the house and were concerned it was a HIPAA violation. Is this really a HIPAA concern, or could this be considered an incidental disclosure?

November 1, 2017
Medicare Web

The largest source of estimated revenue loss in the healthcare midcycle in 2016 was attributed to inadequate documentation, according to a report by the Advisory Board. The report analyzed a range of hospitals in varying size, from 0–500 beds, to determine the impact of midcycle functions. The revenue loss reported for an average 250-bed hospital was $2–$5.5 million. 

November 1, 2017
Medicare Web

Q: What's the distinction between the case manager and non-lincensed case manager extender?

October 31, 2017
Medicare Web

CMS released a proposed rule October 27 that could add flexibility for states with regard to provisions of the Affordable Care Act.

October 30, 2017
Medicare Web

CMS now offers an elearning opportunity on the Quality Payment Program (QPP) through the MLN Learning Management System. This course is the fifth in a growing curriculum on the QPP and will offer 0.5 AMA PRA Category 1 Credits. 

October 30, 2017
Medicare Web

Under what circumstances could two services be considered mutually exclusive?

October 27, 2017
Medicare Web

Q: How would you code documentation where the provider states the patient is in remission for alcohol abuse and alcohol dependence?

October 27, 2017
Medicare Web

A WannaCry variant took down a North Carolina-based health system's network.

October 26, 2017
Medicare Web

Q: Our state child support enforcement agency requested the medical records of one of our pediatric patients. Are we allowed to respond to this request without a subpoena?

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