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Nursing Facility Visits: Will Documentation of Your Doctor’s SNF Visits Stand Up To Close Scrutiny?

20. August 2014

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Review of nursing facility care claims data leads to astounding findings. You could find your doctor’s SNF visits under the microscope soon. E/M code use has been drawing suspicion for quite some time. Now NGS Medicare is joining the Centers

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Part B Mythbuster: Don’t Fall Victim to this Critical Care Myth

20. August 2014

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Location cuts both ways. A recent clarification on critical care services from the Centers for Medicare and Medicaid Services (CMS) should come as a major relief to your physicians as well a boost to reimbursement. Scenario: Your physician performs CPR…

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Reader Question: Can Multiple Small Breach Reports Trigger An Audit?

16. July 2014

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Question: If our clinic reports every small HIPAA breach throughout the year instead of waiting until the end of the year, will this trigger an audit? Answer: 

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Privacy Rule: Know How State Laws May Complicate Your Mental Health HIPAA Compliance

16. July 2014

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Don’t rely on new HHS guidance until you check your state laws first. New guidance from the Department of Health and Human Services (HHS) may help to answer your toughest mental health information-related questions under the HIPAA Privacy Rule. But…

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Enforcement News: How Liability Insurers Try To Get Out Of Paying Your HIPAA Defense Costs

18. June 2014

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Plus: New regulations could be on the horizon for telemedicine. If your company undergoes a HIPAA investigation, will your directors and officers insurance policy cover the costs? Maybe — or maybe not. Drug-testing company Millennium Laboratories Inc. is facing just…

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Update Your ‘Pre-Existing’ BAAs Now

20. May 2014

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Focus on 3 BAA terms that can increase your liability. While you’re pondering your business associate’s (BA’s) ability to comply with HIPAA and state privacy laws, keep in mind that you need to amend your pre-existing BAAs by September. Under…

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Tool: Use This Chart To Dispel Security Risk Analysis Myths

16. April 2014

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HHS OCR gives you a little help on getting your risk analysis down pat. As the HHS Office for Civil Rights (OCR) ramps up its enforcement of the HIPAA Security Rule, you’d better get your compliance in order — and the feds will…

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Compliance: Keep Your HIPAA Policies In Line By Focusing On 4 Principles

19. March 2014

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Do your policies set forth clear responsibilities and accountability? Every physician group and facility knows they need compliance and privacy policies in place to keep services on track. But what makes a “good” policy? According to the Malvern Group Incorporated…

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Compliance: Watch For Compliance in Your Provider Documentation

19. February 2014

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You could be setting your practice up for paybacks, fines, or worse. Inadequate documentation is your ticket to unpleasant audit outcomes. Ensure your providers’ documentation will stand up to payer and government scrutiny by focusing on these five key areas…

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SNF Signature Requirements: Heed RAI Manual Revisions On New Signature Requirements

15. January 2014

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Ensure accuracy if MDS sections have not been signed through verification. When a former employee completes part of the MDS but fails to sign it before leaving your facility, you can expect your workload to increase, according to the most…

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