Medicare Compliance & Reimbursement
PROVIDERS ADOPT 'JUST-IN-TIME' APPROACH TO HIPAA COMPLIANCE
Have you deferred a good chunk of your Health Insurance Portability and Accountability Act compliance efforts to the 11th hour? If so, you're not alone, according to a new survey from the Health Information and Management Systems Society and Montgomery Village, MD-based consultancy Phoenix Health Systems. According to the survey, as of early January a mere 9 percent of providers and 5 percent of payors had actually completed privacy remediation - despite the fact that the April 14 deadline for privacy compliance was looming ahead. Moreover, only 6 percent of providers and 11 percent of payors had completed transactions and code sets remediation. The transaction testing deadline is also just around the corner - it hits on April 16. Nevertheless, 75 percent of providers and 83 percent of payors expect to be fully compliant with the privacy rule by the deadline. Reports from the field suggest that many providers were waiting until the last minute on many compliance efforts out of fear that the Department of Health and Human Services would change the rules at the 11th hour. According to the survey, the three biggest challenges for HIPAA compliance have proved to be: understanding and interpreting HIPAA requirements, integrating new policies and procedures, and resolving issues with third parties. To see the survey, go to http://www.hipaadvisory.com/action/surveynew/Winter2003.htm.
Medicare Compliance & Reimbursement
- Legislation:
MEDICAID CUTS HANG IN THE BALANCE
The House and Senate are duking it out over $93 billion in Medicaid cuts, and [...] - Quality Improvement:
NEWSPAPER ADS COMPARING HHA OUTCOMES WEEKS AWAY
The Centers for Medicare & Medicaid Services will trumpet home health agency patient outcomes in [...] - Pharmaceuticals:
COURT OKS MICHIGAN MEDICAID RX PROGRAM
Michigan may go forward with its effort to obtain deep discounts from prescription-drug manufacturers for [...] - Medicare+Choice:
MOST POPULAR M+C PLANS TO GET TWO PERCENT RAISE
In 2004, managed care plans serving the majority of Medicare+Choice beneficiaries will again see only [...] - Compliance:
HEALTH CARE DIRECTORS MUST SPEAK UP ON COMPLIANCE
As the Enron fiasco continues to play out and the HealthSouth debacle puts the corporate [...] - Medicare:
MEDICARE REGULATORY REFORM MOVES FORWARD, BUT HALTINGLY
It's nice to know that even in the House Ways and Means Committee, occasionally a [...] - Self-Referral:
STARK LAWS COULD CAST WIDER NET
Specialty hospitals will be in for a major overhaul of how they structure deals with [...] - Quality of Care:
FOR NURSING HOMES, QUALITY IS JOB ONE
Nursing homes that fail to establish solid programs to ensure quality of care could very [...] - Physicians:
STAFFING COMPANIES IN LINE FOR STEPPED UP SCRUTINY
Staffing companies that contract with physicians to staff emergency rooms and other hospital departments could [...] - HIPAA:
PROVIDERS ADOPT 'JUST-IN-TIME' APPROACH TO HIPAA COMPLIANCE
Have you deferred a good chunk of your Health Insurance Portability and Accountability Act compliance [...] - Medicaid:
SCHOOL-BASED SERVICES DRAW FRAUD-FIGHTERS' NOTICE
Medicaid rules and regulations cast a wide net, and sometimes the fraud and abuse perils [...] - Reimbursement:
NEW APPROACHES TO NEW TECH PAYMENTS
Health care providers that deal extensively with new and emerging technologies may soon see some [...] - Medicaid:
AUDIOLOGISTS FACE NEW RULES FOR MEDICAID
Audiologists would have to meet a new set of requirements to provide services - including [...] - Medicare+Choice:
FINAL M+C APPEAL RULE EASES ADVANCE NOTICE REQUIREMENT
Medicare+Choice organizations will have to notify enrollees two days prior to terminating services under a [...] - PROGRAM MEMO ROUNDUP
Health care providers that bill Medicare for Part B mental health services should take special [...] - BILL WATCH
The following House bills were introduced:
H.R. 1539. A bill to amend title XVIII of [...]
