Medicare Compliance & Reimbursement
OCR Releases New Guidance on HIPAA and Health Plans
To better clarify patient data sharing between two separate health plans, the Department of Health and Human Service Office for Civil Rights (OCR) released a frequently-asked-questions (FAQs) set to address quandaries. The new offering supports better care coordination between health plans and surrounds the uses and disclosures of patients’ protected health information (PHI), according to the release. There are only two questions and answers, but the OCR gives in-depth explanations with references to the related parts in the HIPAA Privacy Rule. Both answers offer scenarios to help covered entities (CEs) understand what is and what is not allowed. Check out the FAQs at www.hhs.gov/hipaa/for-professionals/faq/3014/uses-and-disclosures-for-care-coordination-and-continuity-of-care/index.html.
Medicare Compliance & Reimbursement
- Policy:
MedPAC Proposal Aims to Nix 'Incident To'
Hint: This could impact your bottom line. If your practice utilizes “incident-to” billing for care [...] - ICD-10-CM:
See New Eye Fracture, Poison Codes Available Oct. 1
CMS offers new code options for pulmonary embolisms in 2020. Last month, the Centers for [...] - Clip and Save:
Review and Dispute MIPS 2018 Data With This Primer
Tip: Check your performance feedback ASAP. Right now, your practice is probably focused on 2019 [...] - Reader Question:
Know How 'Regular Hours' Are Defined
Question: Our practice has decided to stay open this Labor Day, and we’ve let our patients [...] - Industry Note:
Vendors and Partners Must Use MBIs, Too
Statistics shows that providers are doing a great job with the Medicare card transition. However, [...] - Industry Note:
MAC Offers New TPE Advice in Q-and-A Set
If you’ve got questions about the Targeted Probe and Educate (TPE) medical review program facilitated [...] - Industry Note:
ZIP Code Edit Leads to Hospice NOE Errors
A claims system glitch has been returning numerous Notices of Election (NOE) to hospices in [...] - Industry Note:
Acupuncture May Be Covered By Medicare in the Near Future
If your patients suffer from lower back pain, you may be able to utilize acupuncture [...] - Industry Note:
OCR Releases New Guidance on HIPAA and Health Plans
To better clarify patient data sharing between two separate health plans, the Department of Health [...] - Industry Note:
ASPR-TRACIE Addresses Hurricane Season
The feds offer new advice and insight in the wake of the California earthquakes and [...]
