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.
In September, the Office for Civil Rights (OCR) released its fall 2022 data for enforcement. Covered entities (CE) and business associates (BA) can review this data to determine areas that most commonly trigger enforcement on behalf of the government’s regulator for the HIPAA Privacy and Security rules.
Those in charge of overseeing HIPAA compliance at their healthcare organizations need to have a firm understanding of privacy laws outside of the healthcare arena.
Now that the fourth quarter has arrived, things are winding down for 2022. This is a good time to reflect on the past year of HIPAA compliance and prepare for 2023. Here is a roundup of HIPAA topics and some actionable tips for compliance.
Various analyses must be conducted to maintain compliance, assist with charge capture, solve account edits, and review any possible coding trends or issues that may cause claim delays, denials, or unnecessary rework. Learn how to effectively leverage this data to improve processes and protect revenue.
The 2023 Inpatient Prospective Payment System (IPPS) final rule includes a welcome payment rate increase, coding updates, and adjustments to quality and reporting programs. Review the major provisions of the rule to ensure your organization is in compliance.