July 20, 2016
News & Insights

As we all digest the potential financial impacts of the CY 2017 OPPS proposed rule, there are a few positive changes that may be coming to the CMS inpatient-only list.

July 20, 2016
News & Insights

Q: A patient has multiple laboratory tests on the same date of service. We receive the following NCCI edit: “Code 80048 is a column two code of 80053. These codes cannot be billed together in any circumstances.” Should we only bill code 80053?

July 19, 2016
Medicare Insider

This week’s updates include a notice of proposed rulemaking for Organ Procurement Organizations and Transplant Centers; July 2016 Medicare Quarterly Provider Compliance Newsletter; and more!

July 19, 2016
News & Insights

The majority of patients who visit hospital emergency departments for chest pain do not have a life-threatening condition, according to a recent study in JAMA Internal Medicine.

July 18, 2016

The College of Healthcare Management Executives (CHIME) considers the Merit-Based Incentive Payment System (MIPS) a good opportunity for CMS to address several issues surrounding quality reporting

July 18, 2016

A new study has found that the average physician practice spends more than $40,000 on quality reporting each year, and that much of the reporting is not useful to those practices.

July 18, 2016
News & Insights

The Office for Civil Rights’ (OCR) phase two HIPAA audits officially began last week when the agency sent more than 160 covered entities (CE)

July 19, 2016
News & Insights

Can a hospital that is not a critical access hospital bill professional charges on UB-04 claims, Type of Bill 013X?

July 15, 2016
News & Insights

Pokémon Go, the most popular mobile game app ever in the U.S., has captured the attention of players of all ages. But it could also be capturing sensitive images and information in hospitals, which could lead to a violation of HIPAA privacy rules.

July 15, 2016
News & Insights

Protected health information encrypted by ransomware is considered breached, according to the Office for Civil Rights’ recently released ransomware guidance for covered entities and business associates.

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