Feb 13th, 2018
Here’s a stark reminder of the responsibilities  – and risks – of being a business associate: Aetna is suing the company that mailed 12,000 envelopes last summer revealing the recipients had HIV for $20 million and more. Aetna hired claims administrator Kurtzman Carson Consultants (KCC) to send letters notifying Aetna members of a settlement the ...
In CMS
Feb 12th, 2018
A proposed rule by the Department of Health and Human Services (HHS) entitled “Protecting Statutory Conscience Rights in Health Care; Delegations of Authority” will cost the healthcare industry more than $125.5 million in the first year, and many worry resulting litigation will cost at least that much. Conscience Rule Includes Immunization, Advance Directives The 216-page ...
In CMS
Feb 12th, 2018
Physicians won’t have to re-document medical students’ notes in evaluation and management (E/M) documentation any longer. CR10412 revises the Medicare Claims Processing Manual to allow the teaching physician to verify in the medical record any student documentation of components of E/M services rather than having to re-document the work. It appears from the change request that some ...
Feb 9th, 2018
You may want to put the brakes on calling ride-hailing services to assure Medicaid patients show up for appointments. Free rides may not improve patients’ appointment attendance, a recent study indicates. A study recently published in JAMA Internal Medicine found that 36.5 percent of patients offered complimentary ride-hailing services missed their appointments compared to 36.7 percent of tho...
In Coding
Feb 6th, 2018
Flu season is here, prompting a great deal of confusion about how to code.  I decided to spend some time on the  Centers for Disease Control and Prevention (CDC) website and other resources to try to clarify the murky in this very sick flu season. Caring for the flu is divided into different parts. It includes the ...