Q: We're seeing a significant increase in pre-payment audit activity. How can we adapt our audit and denial management processes to cope with this shift?
Q: What are the benefits to having coders review charts for appropriate capture of CCs and MCCs, and how can our coding team get started in this process?
The Office of Inspector General (OIG) will be conducting a second round of audits to determine whether acute care hospitals are being inappropriately reimbursed for outpatient services provided to inpatients, according to a recent update to the OIG’s Work Plan.
Q: If we end a contract with a business associate (BA), does the BA need to provide us with assurance that all protected health information (PHI) has been destroyed? Is this something that should be written into the initial contract? What are the steps to take if the BA does not respond to requests to confirm deletion of PHI?
Q: The combination of hospitals' financial constraints and the isolation associated with remote work can create low morale within a case managment department. How should case management directors combat these factors?
GenRx Pharmacy, which is headquartered in Scottsdale, Arizona, reported a data security incident on December 18 affecting 137,110 individuals, according to the Office for Civil Rights (OCR) breach report.
A federal appeals court on December 29 rejected the hospital industry’s attempt to block CMS’ price transparency rule, effective January 1, that requires hospitals to disclose standard charges, including payer-specific negotiated rates, for 300 services.
The Office for Civil Rights (OCR) on December 17 released its 2016-2017 HIPAA audits industry report, providing an overview of how selected covered entities (CE) and business associates (BA) complied with certain provisions of the HIPAA privacy, security, and breach notification rules.
