News & Analysis

October 25, 2019
Case Management Monthly

This spring, CMS changed the scope of work for their Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIO) Livanta and Kepro, which became effective June 8. The QIOs’ responsibilities were narrowed to focus primarily on discharge appeals, quality complaints, and real-time advocacy for Medicare patients and families.

October 25, 2019
Medicare Web

Jackson Health System was fined $2.15 million for HIPAA violations that included an employee selling patient information for years, an incident in which an NFL player's PHI was shared with an ESPN reporter, and more. 

October 25, 2019
Medicare Web

Q: If a patient comes in twice a day over the course of a week to receive an IV infusion of Vancomycin and the same line is used daily, would the coder report one initial infusion CPT code per day?

October 24, 2019
Medicare Insider

This week's note from the instructor reviews the updated Inpatient Prospective Payment System (IPPS) rates published in the correction notice for the final rule. 

October 24, 2019
Medicare Web

Q: Can a cloud provider like Amazon Web Services or Microsoft Azure, when considered a business associate (BA), be held liable for breach notification requirements?

October 23, 2019
Medicare Web

A federal judge rejected CMS’ motion to reconsider or issue a stay on her September order to vacate cuts to reimbursement to grandfathered off-campus provider-based departments.

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