Compliance

Health Plan Identifiers Proposed for Insurers

Although the ICD-10 compliance delay grabbed most the headlines, the proposed rule in which the ICD-10 delay was nestled also calls for standardized health plan identifiers.

Apr 13, 2012 10:00 am    |    posted by Wendy Zumar   |    ARRAClinical terminologiesCompliance
CMS Proposes One Year ICD-10 Compliance Delay

A proposed rule has been released by the Department of Health and Human Services that calls for a one year delay of the ICD-10-CM/PCS compliance deadline.
The rule would push the compliance date from Oct. 1, 2013 to Oct. 1, 2014.

Apr 09, 2012 12:35 pm    |    posted by Chris Dimick   |    Clinical terminologiesCoding & reimbursementComplianceICD-10
The ABCs of Government Auditors

More than a dozen government audit programs currently inspect Medicare and Medicaid claims. Following are descriptions of the major auditors and their areas of focus. CERT [...]

Mar 01, 2012 09:03 am    |    posted by Kevin Heubusch   |    Coding & reimbursementCompliance
Progress in esMD Electronic Submission Project

Healthcare providers facing a claims audit by the Centers for Medicare and Medicaid Services are a step closer to submitting their documents electronically. The first live [...]

Oct 10, 2011 11:40 am    |    posted by Chris Dimick   |    ComplianceHealth information exchange
Sample Severity Determination Document Available

The online version of the October practice brief “Sanction Guidelines for Privacy and Security Violations”includes a sample severity determination document. The form and table can be used electronically or in paper copy for spreadsheet or database creation.

Oct 01, 2011 06:03 am    |    posted by Meg Featheringham   |    CompliancePrivacy and security
CMS Aligns e-Prescribing Incentive Program with Meaningful Use

On Wednesday, June 1, the Centers for Medicare and Medicaid Services published a proposed rule that would modify its Electronic Prescribing Incentive Program to better align [...]

Jun 08, 2011 04:40 pm    |    posted by Meg Featheringham   |    ComplianceHIM operations
OIG Audits Security Work of ONC, CMS

Two Office of the Inspector General audits of the Office of the National Coordinator for Health Information Technology and the Centers for Medicare and Medicaid Services report [...]

May 24, 2011 04:59 pm    |    posted by Chris Dimick   |    CompliancePrivacy and security
Detecting and Reporting Healthcare Fraud

HIM professionals have a role to play in detecting and reporting fraudulent claims, William Rudman tells the Journal in this audio interview.

Mar 01, 2011 06:02 am    |    posted by Chris Dimick   |    Coding & reimbursementCompliance

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