News & Analysis

April 15, 2019
Medicare Web

Q: What are the recommended key performance indicators to include on a payer scorecard?

April 15, 2019
Briefings on HIPAA

Once you understand the basics of privacy and disclosure of PHI under HIPAA, strive to keep staff trained. According to Section 164.530 (b) of the Privacy Rule, a covered entity must train all members of their workforce on the policies and procedures with respect to PHI as necessary and appropriate.

April 12, 2019
Medicare Web

Q: How does CMS' 14-day rule interact with its new molecular pathology/advanced diagnostic laboratory test policy?

April 12, 2019
Medicare Web

CMS released a bulletin April 10 on behalf of HHS seeking providers to participate in a volunteer Provider Pilot Program to test the process for reviewing compliance with its HIPAA Administrative Simplification rules.

April 12, 2019
Case Management Monthly

Are you double-checking that your patients being discharged to skilled nursing facilities (SNF) meet the three-day inpatient stay requirement? You might want to take a closer look if you aren’t, in light of a February report from the Office of Inspector General that found CMS paid out potentially millions of dollars for beneficiary stays that didn’t qualify under the rule.

April 11, 2019
Medicare Insider

This week's note from the instructor discusses some of the ethical concerns case managers and potentially other types of healthcare professionals may face when utilizing technology such as social media, mobile devices, and electronic health portals. 

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