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CMS Finalizes Changes to Empower Patient EMR Access and Reduce Administrative Burden

On August 02, 2018, the Centers for Medicare & Medicaid Services (CMS) issued final rules related to the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System. Finalized changes will support patient-centered care by reinforcing the MyHealthEData and Patients Over Paperwork initiatives. The...
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New Guidance on HIPAA and Individual Authorization of Uses and Disclosures of PHI for Research

On June 18, 2018, the Office for Civil Rights issued new guidance on HIPAA and individual authorization of uses and disclosures of protected health information (PHI) for research. The guidance explains certain requirements for an authorization to use or disclose PHI for future research and clarifies aspects of the individual's right to revoke an au...
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MEASURING COMPLIANCE PROGRAM EFFECTIVENESS

Measuring compliance program effectiveness is recommended by several authorities, including the United States Sentencing Commission (see, Chapter 8 of the United States Sentencing Guidelines). The Compliance Department is not permitted to perform these audits. Audits must be performed independently, to avoid self-policing. https://www.cms.gov/Medic...
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CONGRESS LIFTS MEDICARE THERAPY LIMITS

On February 9, 2018, Congress enacted a permanent solution to the hard cap on outpatient therapy services under Medicare Part B, ending a cycle of short-term fixes that have been necessary since its introduction in 1997 as part of the Balanced Budget Act. The legislation that has been enacted provides a fix for the therapy cap by permanently extend...
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MEDICARE REVISES E/M SERVICE DOCUMENTATION PROVIDED BY STUDENTS

On February 2, 2018, CMS issued Transmittal 3971 revising Pub. 100-04, Medicare Claims Processing Manual, Chapter 12, Section 100.1.1, B, that allows the teaching physician to verify in the medical record any student documentation of components of evaluation and management (E/M) services, rather than redocumenting the work. The policy change applie...
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Medicare Compliance Journal

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