On April 17, 2013, the Office of Inspector General (OIG) released an updated Provider Self-Disclosure Protocol (SDP). The SDP offers providers a process for voluntarily identifying, disclosing, and resolving conduct in violation of the federal fraud and abuse laws, as well as guidance on investigating, reporting, and quantifying the damages
The Centers for Medicare and Medicaid (CMS) has confirmed their intention of enforcing the ICD-10 deadline of October 1, 2014. In response to the American Health Information Management Association’s (AHIMA) recommendation to continue with the implementation timeframe, a letter was issued by the U.S. Department of Health and Human Services
The implementation of ICD-10 is only 18 months away. Transitioning to the expanded code set can be smooth and successful, but the planning phase should already be under way. In accordance with The Centers of Medicare and Medicaid Services (CMS) issued implementation timelines, the following list offers a few examples
On March 27, 2013, the National Association for Home Care and Hospice (NAHC) highlighted a policy in the 2013 physician fee schedule. The 2013 physician fee schedule rate update includes a new policy to pay a patient’s physician or practitioner to coordinate the patient’s care in the 30 days following
March 15, 2013, the Centers for Medicare and Medicaid Services (CMS) published an MLN Matters article addressing the quarterly update of HCPCS codes used for home health (HH) consolidated billing enforcement. The article is based on the annual update to the HH consolidated billing effective July 1, 2013. The update
Recently there has been pressure on all departments of a hospital to be profitable, including the pharmacy. There is also an expectation for the pharmacy department to maintain an acceptable level of compliance with current regulations. It can be difficult for the pharmacy to meet both demands, but we at
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