Plus: Expect a rate increase in the neighborhood of 2.9 percent for 2024, Commission estimates. There’s a lot to unpack in the Medicare Payment Advisory Commission’s new report to Congress addressing hospice payment rates, and some of that baggage could [...]
CMS has released its first major overhaul of nursing home regulations since 1991. The Centers for Medicare & Medicaid Services (CMS) proposed the updates in July 2015 and received nearly 10,000 public comments, Acting Administrator Andy Slavitt noted in a [...]
Plus: Lack of ‘actual injury’ saves insurer from class-action lawsuits. Phase 2 of the HHS Office for Civil Rights’ (OCR) HIPAA audits are in full swing, currently in the midst of the “desk audit” portion for covered entities (CEs). And [...]
Back in July, the HHS Office for Civil Rights announced that Phase 2 of the HIPAAAudit program “has officially kicked into high gear.” But did OCR’s emails end up in your spam folder? OCR has selected 167 health plans, healthcare [...]
Plus: If the C-suite execs are ignoring HIPAA compliance, you’re at risk for huge penalties. If you ignore the HIPAA Security Rule, you’re effectively painting a bullseye on your back — and your organization’s pockets will soon be millions of [...]
Use the right TOBs, and avoid facing claim adjustments. CMS now provides coverage for screening for lung cancer with LDCT, and you have two new HCPCS codes G0296 (Counseling visit to discuss need for lung cancer screening [LDCT] using low [...]
The cost of preparing for the ICD-10 upgrade is far less than originally thought. Opinions at a Feb. 10, 2015 Energy and Commerce subcommittee hearing tipped the scale toward no more ICD-10 delays. If the final decision follows suit, it [...]
Enlighten yourself with these top 4 myth busters. Time now to roll up your sleeves and prepare to welcome the ICD-10 reform. The recent Congressional House hearing on the issue was dominated by the message of “full speed ahead.” Background: [...]
Cause is important in congenital aneurysms, location in others. When reporting nonruptured cerebral aneurysms in ICD-10, you’ll be on easy street as long as you can confirm the aneurysm in the carotid artery. When submitting a diagnosis code for an [...]
Hosipices have received some good news -- one nagging claims system error is resolved. Top on the list of hospices' claims submission problems is a glitch with hospice notices of election (NOEs). The problem: "On Notice of Elections (NOEs) (type of [...]
