November 3, 2020
News & Insights

Aetna Life Insurance Company and its affiliated covered entity agreed to pay $1 million to the Office for Civil Rights (OCR) and to adopt a corrective action plan to settle three potential HIPAA violations that occurred in 2017.

November 5, 2020
News & Insights

Q: Workers will likely remain remote for the foreseeable future, but as coffee shops and restaurants begin to reopen, it’s possible that employees may be accessing protected health information (PH)  in these locations. While it is best practice to avoid doing this altogether, what should employees do to avoid exposing PHI in this scenario?

November 4, 2020
News & Insights

Q: CMS recently updated its Care Compare tool, a resource that can provide valuable insight for any patient. How can case managers ensure that their patents can access and best utilize this tool?

November 2, 2020
News & Insights

CMS recently announced that it intends to delay the launch of the new Radiation Oncology Model to July 1, 2021 instead of January 1, 2021. The decision comes after stakeholders commented that a January start date would place an unfair burden on providers already challenged by staff shortages.

November 2, 2020
News & Insights

Q: How does case-mix index (CMI) impact hospital finances? What should revenue integrity staff look for when conducting CMI analyses?

October 30, 2020
News & Insights

Q: What is the difference between cold, hot, and mixed type autoimmune hemolytic anemia, as described by 2021 ICD-10-CM codes D59.11-D59.13?

October 29, 2020
News & Insights

Q: If employees are working remotely and accessing protected health information (PHI) not only on their computers and mobile devices, but printing it as well, how should they safely dispose of the printed PHI?

October 28, 2020
News & Insights

Q: Going into the fall and winter months, what resources can case managers rely on when responding to the novel coronavirus (COVID-19) pandemic?

October 28, 2020
News & Insights

The full U.S Court of Appeals declined to reconsider two recent decisions that upheld CMS’ cuts to reimbursement for certain off-campus provider-based department (PBD) visits and drugs acquired under the 340B program, the American Hospital Association (AHA) announced October 19.

October 27, 2020
News & Insights

The Georgia Department of Human Services (Georgia DHS) on October 9 reported a security incident that potentially affected 45,732 individuals, according to the Office for Civil Rights (OCR) breach report.

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