Q: A patient presents for routine obstetrical (OB) care following a vaginal delivery. During the visit, the provider performs a postpartum depression screening. Should the depression screening be charged separately from the global OB visit service?
Medicare overpaid providers $640,452 for chronic care management (CCM) services and may have overpaid outpatient facilities an additional $1.2 million for CCM, according to an Office of Inspector General (OIG) report released November 7.
Q: I read that CMS changed the scope of work for the Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIO) Livanta and Kepro recently. What impact has that had on hospitals?
The Office of Civil Rights (OCR) recently imposed a $1.6 million civil penalty against the Texas Health and Human Services Commission (TX HHSC) for a data breach that enabled unauthorized individuals to view the protected health information (PHI) of 6,617 individuals.
Expanded price transparency requirements are set to become reality for hospitals effective January 1, 2021. On November 15, CMS released a final rule that pushed ahead with many of the requirements originally included in the 2020 OPPS proposed rule.
Q: When a diabetic patient has arteriosclerotic peripheral artery disease (PAD), should an additional ICD-10-CM code be assigned from subcategory I70.2- (atherosclerosis of native arteries of extremities) to describe the affected vessel and laterality?
The University of Rochester Medical Center (URMC) recently paid a $3 million civil monetary penalty to the Office for Civil Rights for HIPAA violations that include failing to encrypt mobile devices. URMC is one of the largest health systems in New York with more than 26,000 employees.
