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.

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.

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 [...]

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 [...]

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.

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 [...]

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 [...]

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