Rita Luthra, MD, a gynecologist from Longmeadow, Massachusetts, was convicted on April 30 by a federal jury of one count of violation of HIPAA and one count of obstruction of a criminal health care investigation. 
Friday, May 18, 2018

News

Massachusetts doctor convicted of illegally sharing PHI
Source: Revenue Cycle Advisor
Rita Luthra, MD, a gynecologist from Longmeadow, Massachusetts, was convicted on April 30 by a federal jury of one count of violation of HIPAA and one count of obstruction of a criminal health care investigation. 
Tip of the week

"Although both fraud and abuse consume valuable resources that would otherwise be given to Medicare beneficiaries, the main difference between fraud and abuse is intent: fraud is the intentional misrepresentation of services.” — Jacqueline Bloink, MBA, RHIA, CFE, CHC, CPCO, CPC-I, CPC, CMRS

 

Revenue Cycle Advisor Subscriber Content

Documenting social determinants of health
Source: Revenue Cycle Advisor
It’s no secret that social factors can create sizable barriers for case managers who are working to prevent readmissions, plan for discharges, and meet length of stay targets. Unfortunately, government regulators often don’t factor these issues in when they are looking at quality measures. But that is starting to change.
 

Daily Q&A

Q&A: Auditing for observation and infusion services
Source: Revenue Cycle Advisor
Q: Our facility is interested in conducting audits for observation and drug administration services, but understand they should be considered differently from other services. What details should we take into account before we begin?
 

Upcoming CMS Events

Tuesday 5/22 - Settlement Conference Facilitation Expansion Call
Wednesday 6/06 - Qualified Medicare Beneficiary Program Billing Requirements Call
Monday 6/25 - Public Meeting Regarding New and Reconsidered Clinical Diagnostic Laboratory Test Codes for the Clinical Laboratory Fee Schedule for CY 2019
Tuesday 9/11 - ICD-10 Coordination and Maintenance Committee Meeting
 

Product Spotlight

JustCoding’s Inpatient Documentation Pocket Cards

With physician documentation being one of the major challenges when it comes to compliant coding and billing, this product provides easy access to necessary details for difficult-to-code conditions and diagnoses, giving you a quick and convenient way to streamline communication between your facility’s physicians and coders. Download a sample today!

 

    

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What's New

Three Trends That Are Shaking Up CDI

This report looks at the top changes happening in CDI this year, including CDI’s growing role in improving quality and growing revenue.

 
 

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