August 4, 2020
News & Insights

Facing the unprecedented COVID-19 public health emergency, CMS released the 2021 OPPS proposed rule later than ever before, with the agency generally reinforcing its recent focus on site-neutral payment policies, lowering reimbursement for drugs purchased under the 340B program, and adding more services to the list of prior authorization. 

August 4, 2020
News & Insights

Lifespan Health System, a Rhode Island-based healthcare provider, agreed to pay $1.04 million to the Office for Civil Rights (OCR) and implement a corrective action plan to settle potential HIPAA violations, OCR announced on July 27.

August 5, 2020
News & Insights

Organizations may bill Medicare for isolation and quarantine counseling provided to patients being tested for the novel coronavirus (COVID-19).

August 10, 2020
News & Insights

Q: Are commercial payers allowed to conduct a pre- and post-payment review of the same claim?

August 3, 2020
News & Insights

Q: How does Medicare reimburse for home infusion therapy (HIT)?

July 31, 2020
News & Insights

Q: We have a patient who gave birth while admitted for novel coronavirus (COVID-19). How should this be reported and sequenced in ICD-10-CM and which MS-DRG would this be assigned to?

July 30, 2020
News & Insights

Q: When informing first responders that they have been in contact with a COVID-19–positive patient, is it sufficient to merely tell them that one of their patients ended up testing positive? Or does the name of the patient need to be provided?

July 29, 2020
News & Insights

Q: Beyond the need for laptops and internet connectivity, are there any other technological solutions that can be helpful as case managers work remotely?

July 29, 2020
News & Insights

Half of all hospitals could be operating in the red in the second half of 2020 if they don’t receive additional government support, according to a recent analysis prepared for the American Hospital Association.

July 28, 2020
News & Insights

Metropolitan Community Health Services (MCHS),  a federally qualified health center that provides discounted medical services to underserved populations in rural North Carolina, agreed to pay $25,000 to the Office for Civil Rights (OCR) and adopt a corrective action plan to settle potential violations of the HIPAA Security Rule, OCR announced on July 23.

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