Twenty years ago, telehealth was more concept than reality, popular among visionaries but absent from most doctors’ offices. Today, telehealth is a rapidly growing industry changing the way practitioners and patients interact. The technology and the capabilities change almost daily. And then there are the More..
The Centers for Medicare & Medicaid Services’ (CMS) hospital compliance requirements are ever-changing and evolving. But sometimes, the CMS Hospital Conditions of Participation (CoP) requirements and Hospital Inpatient Prospective Payment System (IPPS) rule revisions change for the better. Case in point: You can expect changes More..
CPT® coding of Injection and Infusion services isn’t easy for newbies and veteran coders alike. You have a myriad of overlapping and intertwining coding rules to follow, which makes proper selection of CPT® codes about as clear as mud. At the same time, accurate coding More..
If you think your hospital’s work is done when it comes to price transparency, think again. Posting your chargemaster online is enough to comply with the CMS mandate, but you’re not doing your patients any favors. Reminder: According to the 2019 IPPS Final Rule, hospitals More..
You know you have to comply with the requirements and protections under the Health Insurance Portability and Accountability Act (HIPAA) as a U.S. healthcare provider, but what about the General Data Protection Rule (GDPR)? You might be surprised to learn that the GDPR may apply More..
Emergency Medical Treatment and Labor Act (EMTALA) violations are expensive—and they’re not all that hard to come by. Unfortunately, the myriad regulations around the law’s components can trip up even the most compliance-minded hospital staff. EMTALA requires that you maintain a central log, proper EMTALA More..
No healthcare provider is immune from claims denials. But if you take the right corrective actions and draft an appeal letter using certain strategies, you can recapture the reimbursement you deserve. If your medical practice faces claims denials, you’re not alone – but you can More..
In the AudioEducator webinar “How to Identify and Respond to HIPAA Breaches in 2019,” regulatory expert and attorney Kim Stanger provides practical solutions to HIPAA compliance, explaining how to identify which violations require a breach report and how to prepare that report appropriately. HIPAA privacy More..
To keep you on your toes, the Centers for Medicaid & Medicare Services (CMS) changes the guidance to telemedicine and telehealth services almost every year. An extra challenge comes when technology changes every year, too – but at a pace faster than that of codes More..
If your hospital is dropping the ball on Emergency Medical Treatment and Active Labor Act (EMTALA) compliance, you could face severe consequences. And now the civil monetary penalties (CMPs) for EMTALA violations are much, much higher. Beware: More than 4,000 hospitals received deficiencies for failing More..