March 6, 2017
News & Insights

The Office of Inspector General’s (OIG) telephone number is being spoofed in a scam that aims to obtain identity and financial information, the OIG warned in an alert published March 3.

March 3, 2017
News & Insights

A Nashville medical center notified more than 3,000 individuals of a breach of protected health information (PHI).

March 1, 2017
Medicare Insider

This week’s Medicare updates include a revision to State Operations Manual Appendix PP; ICD-10 Coding Revisions to NCDs, clarification of payment policy changes for Negative Pressure Wound Therapy using a disposable device and the outlier payment methodology for home health services; and more!

March 2, 2017
News & Insights

Q. Are we required to have employees change their passwords on a regular schedule? If so, how often should we reset passwords?

February 24, 2017
Case Management Monthly

Ever since Pat became a nurse case manager three years ago, both family and friends have reached out to her for healthcare advice. She really doesn’t mind and almost expects it, especially since healthcare can be complex and challenging. By sharing her knowledge as a case manager, Pat can often help people navigate healthcare complexities.

February 24, 2017
Case Management Monthly

Ever since Pat became a nurse case manager three years ago, both family and friends have reached out to her for healthcare advice. She really doesn’t mind and almost expects it, especially since healthcare can be complex and challenging. By sharing her knowledge as a case manager, Pat can often help people navigate healthcare complexities.

February 24, 2017
News & Insights

The Office for Civil Rights (OCR) sent a $5.5 million message about the importance of audit and access controls in its latest HIPAA settlement, OCR announced February 16.

February 23, 2017
News & Insights

We recently acquired a clinic across state lines. If we apply a universal privacy and information security policy to our organization, should we use only HIPAA as the benchmark or whichever of the state laws prescribes a higher level of privacy and security?

February 22, 2017
News & Insights

Q: We have claims that are hitting an edit between a procedure HCPCS code and the new codes for moderate sedation (99151–99153). Since moderate sedation is no longer inherent in any procedure beginning January 1, why are these scenarios hitting an edit?

February 21, 2017
Medicare Insider

This week’s Medicare updates include the delay of the effective date of the Advancing Care Coordination Through Episode Payment Models; Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model; a quarterly update to the Medicare Physician Fee Schedule database; ICD-10 coding revisions to National Coverage Determinations; and more!

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