Compliance

Make sure staff who handle audit requests understand when a missing signature should — or should not — trigger an automatic denial of your claims or prior authorization requests. Recent guidance from CMS clarifies how auditors should proceed when a medical record lacks a signature.

Cybersecurity has dominated headlines recently with a series of significant breaches highlighting the vulnerabilities within the U.S. healthcare sector.

The 42 CFR Part 2 final rule brings substantial changes for HIPAA privacy compliance leaders, notably aligning the confidentiality of substance use disorder patient records with HIPAA standards.

Review updates in the 2025 Medicare Advantage (MA) and Part D final rule that could impact case management practices.

A recent case illustrates the risks that organizations face when they fail to protect healthcare workers from violence.

Peggy Rossi, BSN, MPA, CCM, details current healthcare challenges and advises case managers on how to overcome them.

Ensure your organization is keeping pace with current and upcoming requirements for price transparency compliance.

This article reviews malware basics and covers tips that healthcare employees can implement to avoid cyberattacks that could put protected health information (PHI) at risk.

The National Institute of Standards and Technology's (NIST) updated publication provides practical guidance and resources that can be used to help safeguard health information and better understand the security concepts discussed in the HIPAA Security Rule.

The Office for Civil Rights (OCR) recently issued updated guidance regarding the use of online tracking technologies, which is especially relevant due to the widespread adoption of these technologies across various digital platforms, including websites and mobile apps.