October 7, 2016
News & Insights

A business associate (BA) who cuts off a covered entity’s (CE) access to its own protected health information (PHI) may violate HIPAA, the Office for Civil Rights (OCR) said.The potential for a HIPAA violation hinges on the impermissible use of PHI.

October 7, 2016
News & Insights

The Cooperating Parties made revisions for 2017 to explain how bilateral conditions should be reported when the two sides are treated during separate encounters, as well as what codes would be appropriate once one side has been treated. 

October 11, 2016
News & Insights

How can hospitals differentiate the cost of care for bedside procedures from other services?

October 6, 2016
News & Insights

A Rhode Island health system agreed to a settlement and corrective action plan after a breach investigation uncovered out-of-date business associate agreements with a member hospital.

October 6, 2016
News & Insights

This week’s note from the instructor is about the use of modifier -CG on claims by rural health clinics.

October 5, 2016
Medicare Insider

This week’s Medicare updates include a transmittal recurring update notification describing changes to and billing instructions for various payment policies implemented in the October 2016 OPPS update; news about CMS once again allowing some providers to settle inpatient status claims in appeals; an OIG report regarding the improper payment of millions of dollars for unlawfully present beneficiaries; and more!

September 30, 2016
News & Insights

The Government Accountability Office (GAO) is the latest agency to slam HHS’ oversight of HIPAA in a report released September 26. The report was scathing in its criticism of HHS’ efforts to educate covered entities and business associate, develop and uphold technical security guidelines, and enforce compliance.

October 4, 2016
News & Insights

I recently heard of a local long-term care hospital (LTCH, also known as LTACH) that was unwilling to accept military veterans who were cared for at her facility or any Veterans Affairs hospitals even though they would otherwise qualify for LTCH care. The reason the LTCH would not accept these patients was because they did not have a preceding visit in a “regular” hospital. What's the solution?

September 27, 2016
News & Insights

When is the recommended time to write an order for an inpatient-only procedure?

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