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.
In its July newsletter, OCR announced a collaboration with the HHS Office of the National Coordinator for Health Information Technology (ONC) to seek user feedback and improvement suggestions on its Security Risk Assessment (SRA) Tool.
H.R. 7898 became law on January 5, 2021, and amended the Health Information Technology for Economic and Clinical Health (HITECH) Act to require the secretary of HHS to consider certain recognized security practices of covered entities and business associates when making certain determinations, and for other purposes.
Nonprofit hospitals are falling short when it comes to completing community needs assessments required under the Patient Protection and Affordable Care Act, according to an August research letter published by JAMA Network Open.
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.
