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News

Compliance assurance program
Source: Revenue Cycle Advisor
The HIPAA Security Rule isn't specific about the timing of training, but it includes awareness building, reminders, and specific topics that must be addressed. Education, training, and awareness building are critical to privacy and security compliance.
Protecting documentation from clinical validity denials
Source: ACDIS
Clinical validation denials result from a review by a clinician, such as a registered nurse, contractor medical director, or therapist, who concludes, retrospectively, that a patient was not really afflicted by a condition documented in the medical record and coded by the coder.
Proposed ACA changes aim to quell health insurers' fears
Source: HealthLeaders Media
The Trump administration's first move on Obamacare would shorten health plan enrollment periods and beef up pre-enrollment eligibility verification.
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Daily Q&A

Q&A: Implementing Medicare regulations
Source: ACDIS
Q: What’s the biggest challenge you’ve encountered related to implementing Medicare regulations?

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Upcoming CMS Events

Tuesday 2/21 - Understanding and Promoting the Value of Chronic Care Management Services Call
Thursday 2/23 - Looking Ahead: The IMPACT Act in 2017 Call

Tuesday 3/7 - ICD-10 Coordination and Maintenance Committee Meeting
Wednesday 3/22 - MEDCAC Meeting - Health Outcomes in Heart Failure Treatment Technology Studies
 

Product Spotlight

Observation Services Training Handbook

The Observation Services Training Handbook, reviewed by respected case manager Janet L. Blondo, LCSW-C, MSW, CMAC, ACM, CCM, C-ASWCM, ACSW, goes past the definition of observation and discusses billing for observation, coverage of services, and counting of time. This handbook includes relevant information for physicians and is also useful for UR and case management.
 

    

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