In CMS
Jul 13th, 2017
The Office of Inspector General’s (OIG) combat on healthcare fraud, waste, and abuse of taxpayer’s money recovers $5 for every $1 spent on investigating, which gives them incentive to target more areas of fraud. The OIG’s latest and largest fraud takedown happened this month when opioid fraud was exposed with the help of state and federal law ...
In Audit
Jul 13th, 2017
Think your healthcare covered entity doesn’t need to establish and maintain Business Associate Agreements (BAA) with companies who can access your patients’ protected health information (PHI)? Think again. Cases in Point March 2016 — North Memorial Health Care agreed to pay the U.S. Department of Health and Human Services (HHS) $1,550,000 to settle charges that it potentially ...
Jun 9th, 2017
The U.S. Department of Health and Human Services (HHS) is seeking comment on how it can create a more patient-centered healthcare system that adheres to the key principles of affordability, accessibility, quality, innovation, and empowerment. An Executive Order President Trump issued on Jan. 20, entitled, “Minimizing the Economic Burden of the Patient Protection and Affordable ...
In CMS
May 18th, 2017
The U.S. Department of Health & Human Services (HHS) has released the code changes for ICD-10-PCS coding system. ICD-10-PCS codes were adopted under HIPAA for hospital inpatient healthcare settings to use for reporting procedures. Their guidelines help healthcare providers and coders to accurately identify procedures to be reported on healthcare claims. The 2018 updates will ...
May 10th, 2017
Don’t ask Health and Human Services (HHS) Secretary Tom Price about what changes are in store for healthcare, or you might be arrested. A veteran West Virginia public radio reporter persisted when Price didn’t respond and found himself in the slammer. State police arrested Dan Heyman, who continued to shout questions at Price and White House ...