Having a good lawyer often comes in handy. Having a lawyer who understands HIPAA and works well with your HIPAA compliance officers, though, is priceless.
Joe Rivet, Esq., CCS-P, CPC, CEMC, CHC, CCEP, CHRC, CHPC, CICA, CPMA, CAC, CACO, writes about key regulatory updates in the 2022 Outpatient Prospective Payment System (OPPS) final rule, including increased price transparency penalties, changes to the inpatient-only list, and payment changes.
Query forms need to be vetted and approved and must follow appropriate guidelines to be compliant. Brush up on current query guidance to ensure you and your organization are following best practice.
Interventions to reduce length of stay for high-risk, medically complex, and otherwise vulnerable patients are falling short, according to a technical brief prepared for the Agency for Healthcare Research and Quality.
A case manager learns that a soon-to-be discharged patient’s electricity has been turned off for nonpayment and makes arrangements to have the bill paid and power restored. While this is clearly important to the patient’s health, it is also an example of how case managers may be unintentionally violating the law.
Calling all revenue cycle and revenue integrity experts: NAHRI is currently seeking speakers for the 2022 Revenue Integrity Symposium (RIS), to be held September 19–20 in Phoenix, Arizona.
CMS recently released an interim final rule called Requirements Related to Surprise Billing; Part II, which builds on the No Surprises Act. It aims to prevent patients from shouldering the financial burden related to unexpected out-of-network costs.
It’s almost a new year. And for HIPAA security officers, that means it’s time to reflect on the year that was and also look forward to the next 12 months. One way to do that is to sharpen their toolkit of skills and traits.
The Office of the National Coordinator of Health IT’s 21st Century Cures Act final rule and CMS’ Interoperability and Patient Access final rule are complex rules that usher in sweeping changes to core HIM tasks: how patient information is accessed and transferred. Learn how to ensure your organization is meeting the new rules.
In December 2020, CMS announced that it would begin a Review Choice Demonstration (RCD) for inpatient rehabilitation facility (IRF) services. The goal: to improve detection and identification of Medicare fraud related to these services.
