Aegis Medical Group, a physician practice in Mount Dora, Florida, recently notified 9,800 patients that their protected health information (PHI) may have been accessed by a former employee.
Q: I'm told, although I'm not convinced, that our payment for Keytruda is denied by Anthem when we use ICD-10-CM code Z51.11 (encounter for antineoplastic chemotherapy) first followed by the code for cancer, i.e., C34.12 (malignant neoplasm of upper lobe, left bronchus or lung). I reviewed the coding guidelines again and that is our instruction. Does anyone have experience with this issue?
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.
