Monday, November 28, 2016

News

Lack of Firewall, Risk Analysis Earns University $650,000 HIPAA Fine
Source: Medicare Compliance Watch
The University of Massachusetts Amherst (UMass) agreed to a $650,000 HIPAA settlement fine after a breach investigation revealed the university failed to implement basic security measures.
Solving the Documentation Difficulties for Sepsis-3
Source: ACDIS
In developing a CDI strategy for dealing with new sepsis-3 criteria, remember three environments by which we must consider disease terminology and supporting criteria. One cannot talk about sepsis, severe sepsis, or septic shock documentation without considering the environment in which such documentation is to be interpreted.
Medicare Offers Deal for Disputed Inpatient Billings
Source: HealthLeaders Media
The financial terms offered are marginally less attractive than its 2014 settlement pact for disputed claims.
 

Daily Q&A

Q&A: Community-acquired Pneumonia
Source: Medicare Compliance Watch
Q: How do we determine if a patient’s pneumonia is community acquired or not? What documentation should we look for to support this?

Need expert advice?
Email your questions for consideration in the Revenue Cycle Daily Advisor. Note: We do not guarantee that all questions will be answered.

 

Upcoming CMS Events

Wednesday, 11/30 - Medicare Diabetes Prevention Program Model Expansion Call
Thursday, 12/1 - IRF and LTCH Quality Measure Report Call
Monday, 12/12 - 2016 Hospital Appeals Settlement Update Call
 

Product Spotlight

Clear Up Coding Confusion for Non-Vascular Interventional Radiology Webinar

Stacie L. Buck, RHIA, CCS-P, CIRCC, RCC, will review 2016 changes to urinary and biliary procedures, while also discussing differences between aspiration and drainage procedures and previewing 2017 changes during this live webinar on November 30 at 1-2:30 p.m. (Eastern). As a bonus, listeners will receive access to two quick reference coding guides designed by Buck.

 

    

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