Apr 11th, 2017
The Centers for Medicare & Medicaid Services (CMS) unveiled a fact sheet to improve understanding of HIPAA’s least-known provision, Administrative Simplification. The FAQ helps explain the three-pronged approach to simplification: electronic transactions, code sets, and unique identifiers. CMS said the fact sheet explains how Administrative Simplification standards streamline day-to-day t...
Promote a compliant environment within your organization, before the whistle is blown. The most notable Medicare fraud cases in the last five years have been whistleblower cases in which someone with inside knowledge of a health system or physician practice (usually an employed physician or administrator) files suit against the employer under the federal False ...
Pay attention to Privacy and Security Rules, or you may pay out of your pocket. HIPAA enforcement is skyrocketing. In 2015, there were $6.1 million in HIPAA penalties. By the end of the third quarter in 2016, there was more than $20 million. A single $5.5 million penalty in August 2016 nearly eclipsed the total for ...
In Audit
Dec 1st, 2016
The U.S. Department of Health and Human Services (HHS) has issued an alert, warning of phishing attempts disguised as audit communication. It has come to our attention that a phishing email is being circulated on mock HHS Departmental letterhead under the signature of OCR’s Director, Jocelyn Samuels. This email appears to be an official government ...
Don’t let a question of identity hold up claims payment. Although transgender people have existed throughout history, society has been slow to accept them as equals. The Lesbian, Gay, Bisexual, and Transgender (LGBT) community has gained a lot of ground more recently, though. Most notably, the Affordable Care Act of 2010 banned sex discrimination in ...