November 4, 2015
Medicare Insider

This week’s updates include an NCD for single chamber and dual chamber permanent cardiac pacemakers; a Medicare Compliance Review of Boca Raton Regional Hospital, Inc., for 2011 and 2012; and more!

November 5, 2015
Medicare Insider

In a surprising announcement on Friday, October 30, the Office of Inspector General (OIG) may have delivered some good news to hospitals who are diligently following prior CMS guidance on billing patients for SADs provided in the outpatient setting.

October 14, 2015
Medicare Insider

This week’s updates include changes to the laboratory NCD edit software for January 2016, medical record signature requirements, and more! Click here to read all of this week’s updates.

October 7, 2015
Medicare Insider

This week’s updates include the October 2015 update of the ASC payment system; postpayment review requirements; and more! Click here to read all of this week’s updates.

September 29, 2015
Medicare Insider

This week’s updates include: Claims processing Medicare Secondary Payer (MSP) policy and procedures regarding ongoing responsibility for medicals (ORM); Maintenance and update of the temporary hook created to hold OPPS claims that include certain drug HCPCS codes; and more!

September 1, 2015
Medicare Insider

One of the biggest challenges to the provider community, including hospitals and critical access hospitals (CAH), is keeping up to date with current regulatory requirements, particularly when it comes to rules on coverage, coding, billing, and payment for services provided to beneficiaries under federal healthcare programs, including Medicare and Medicaid. For those of you who have taken one of our hospital or CAH Medicare Boot Camps, you probably remember discussing this early during the week, when we identified the major official sources of authority on Medicare rules, as well as some tips about how to efficiently keep yourselves up to date.

July 1, 2014
Strategies for Healthcare Compliance

You hear it over and over again. Covered Entity (CE) A failed to produce an ongoing risk assessment for HIPAA security compliance. CE B had an incomplete risk analysis, leading to a failure to recognize security weaknesses and vulnerabilities. And in come the fines.

May 1, 2014
Strategies for Healthcare Compliance

When OCR resumes its HIPAA audits sometime this year, healthcare organizations can expect members of the audit team to focus on key issues identified by the federal agency.

 

May 1, 2014
Strategies for Healthcare Compliance

The HITECH Act, which included changes to the HIPAA Privacy and Security Rules, was signed into law by President Obama in February 2009?a full five years ago.

May 1, 2014
Strategies for Healthcare Compliance

What is the privacy and security governance structure like at your organization?

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