CMS has reinstated the short-stay reviews and high-weighted DRG reviews originally halted in 2019. The national contract to conduct these reviews was awarded to Livanta, one of the Beneficiary & Family-Centered Care and Quality Improvement Organizations.
Anna, a case manager who practices in a pulmonologist’s office, manages adult high-risk asthmatic patient care. The office serves more than 2,000 patients, which Anna learns is the upper range of average. She recently learned that the American Association for Physician Leadership believes that a physician’s office can successfully handle a volume of 3,000 patients.
As the country sees a resurgence of COVID-19 thanks to the delta variant, hospitals are seeing an increase not only in their immediate census numbers, but also in the number of readmissions.
With the first month of fall arrived, it’s time to start thinking of the year ahead—and, of course, to finish the year strong. We’ve gathered some HIPAA compliance tips to consider while getting through the final third of the year and building some compliance momentum heading into 2022.
Audits are ramping up across the country, creating additional headaches for many healthcare organizations as they simultaneously struggle with the delta variant of COVID-19.
HHS recently issued its Summer 2021 OCR Cybersecurity Newsletter, covering the topic of controlling access to ePHI. HHS officials cited a Verizon 2021 Data Breach Investigations report that found 61% of analyzed data breaches in the healthcare sector were perpetrated by external threat actors and 39% were carried out by insiders.
CMS walked back some major policy changes and cemented others in the 2022 Inpatient Prospective Payment System (IPPS) final rule. Brush up on the latest changes and ensure your hospital is ready to comply by October 1.
The agency responsible for setting the rules for healthcare IT compliance underwent its own audit by the Office of Inspector General (OIG) recently. See what auditors found and where HHS needs to improve.
Understanding how condition codes 44 and W2 affect reimbursement and workflows in various scenarios is key to knowing when and how to use them most effectively. Apply expert advice to create appropriate processes at your organization.
Before the final HIPAA Privacy Rule updates are released, providers have a change to weigh in on the proposals. Read what they've said and how it might influence the final rule.
