The Office for Civil Rights (OCR) has announced two resolutions for potential HIPAA violations two months into 2023. These resolutions fall at opposite ends of the HIPAA compliance spectrum—cybersecurity and medical record access. Each is focused on the goal of protecting patient privacy.
Clinical validity denials occur when there is a lack of clinical evidence in the patient chart to support a billed diagnosis. Learn more about common reasons for these denials and how to defend against them.
The 2023 Medicare Physician Fee Schedule ushered in a slew of changes to payment rates, coding guidelines, and telehealth coverage. Review key changes to ensure your organization is in compliance.
The Office for Civil Rights finished 2022 with some enforcement action relating to the HIPAA Security and Privacy Rule enforcer’s Right of Access Initiative.
With reimbursement gains whittled down by CMS' attempt to remedy unlawful cuts to 340B drug payments, complying with updated Outpatient Prospective Payment System (OPPS) policies is key to protecting reimbursement. Take a closer look at CMS' latest policies and ensure your organization is in compliance.
When it comes to HIPAA compliance, there’s always something new to learn. In 2022, Paubox, a security provider, reported more than 3 million people were affected by breaches involving electronic medical records.
The Office for Civil Rights (OCR) has had a busy fall putting out guidance and proposing rule changes in some crucial areas of HIPAA compliance. Here’s a breakdown of some of its current operations.
Coding and billing professionals must ensure that medical record information is accurate, up to date, and compliant. In this article, Holly Cassano, CPC, CRC, defines late entries, corrections, and addendums, and explains the proper methods used to alter health records while maintaining Medicare compliance.
