South County Health Alliance (SCHA), a health plan based out of Owatonna, Minnesota, reported a security breach on December 31 affecting 66,874 individuals, according to the Office for Civil Rights (OCR) breach report.
The American Medical Association (AMA) recently released a free tool to help clinical staff determine appropriate CPT® and HCPCS Level II coding for COVID-19 vaccines and vaccine administration.
Q: If a patient writes his or her email address in an illegible fashion and the provider misreads it and then inadvertently sends appointment reminders and other communication to the wrong email address, is the provider at fault? What steps can be taken to avoid such a situation?
Q: Telemedicine may not be the best fit for all patients. How can case managers help facilitate in-person visits for those patients that cannot engage in telemedicine visits?
Q: Acute respiratory failure is consistently one of our top denied diagnoses. We've tried to address common documentation errors through education but are still seeing issues. How can our CDI staff and coders create more effective queries for this condition?
Q: What type of activity must be audited to comply with the HIPAA requirement to audit electronic medical record (EMR) activity? Does this include every action a user takes within a record and the length of time a user spends in a record?
Q: Throughout the novel coronavirus (COVID-19) pandemic, case managers have faced many challenges when trying to find placements for patients who need to transfer from the hospital to a lower level of care, such as a skilled nursing facility (SNF). As we enter 2021, what challenges will persist and how can case managers work to overcome them?
UnitedHealthcare (UHC) is suspending certain prior authorization requirements for in-network hospitals and skilled nursing facilities through January 31.
President Donald Trump signed H.R. 7898 into law on January 5, amending the Health Information Technology for Economic and Clinical Health Act (HITECH Act) to require the Health and Human Services secretary to consider certain recognized security practices of covered entities (CE) and business associates (BA) when taking enforcement actions.
