This week’s Medicare updates include finalization of two new payment models, the January 2017 update of the ASC Payment System, an OIG report on vulnerabilities that remain under CMS' 2-Midnight Rule, and more!
Q: We just finished our annual CPT® review for our chargemaster changes and we noticed that there are new moderate sedation codes for 2017. The code descriptions are similar, but now we don’t know when we should report the moderate sedation. Moderate sedation has run the gamut from instructions to "report separately" and “don’t report separately,” and we don’t know what to do at this point.
This week’s Medicare updates include Hospital Appeals Settlement Process FAQs, additional opportunities for clinicians under the Quality Payment Program, Conditions for Coverage for End-Stage Renal Disease Facilities interim final rule, and more!
Q: Our modem dialed the correct fax number but a switch in the phone company's system misdirected some pages of the fax to a wrong number. Are we in violation of HIPAA even though it is not our fault?
Quest Diagnostics, a Madison, New Jersey-based medical laboratory services company, announced a data breach affecting 34,000 individuals. The breach occurred November 26, according to Quest Diagnostic’s December 12 statement.
Q: A situation recently arose with one of our business associates (BA). We have a copy of a business associate agreement (BAA) signed by the company; however, there have been some changes in personnel within the BA. The BA now claims it has no record of the BAA and does not feel it should be bound by the agreement. We suggested creating and signing a new BAA but the BA is reluctant to agree to do that. Is it a HIPAA breach if the BA no longer has a copy of the BAA?
This week’s Medicare updates include the final Medicare Outpatient Observation Notice (MOON), a CY 2017 Update to the DMEPOS fee schedule, information on the CJR Model Skilled SNF 3-Day Rule Waiver, and more!
