UMass Memorial Medical Group Inc. and UMass Memorial Medical Center Inc. reached a $230,000 settlement with the state of Massachusetts in response to two data breaches that exposed the personal health information of more than 15,000 Massachusetts residents.
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News
UMass Memorial reaches $230,000 settlement with the state of Massachusetts
Source: Revenue Cycle Advisor
UMass Memorial Medical Group Inc. and UMass Memorial Medical Center Inc. reached a $230,000 settlement with the state of Massachusetts in response to two data breaches that exposed the personal health information of more than 15,000 Massachusetts residents.
Tip of the week
Beginning in October, the Medicare Appeals Council at the HHS Departmental Appeals Board is changing the look and format of its decisions, including a different font style and simplified layout, CMS announced in the latest edition of MLN Connects. Email questions about the new format to DABStakeholders@hhs.gov.
 

Revenue Cycle Advisor Subscriber Content

Complex case: Septic patient has long length of stay and difficult postacute transition
Source: Revenue Cycle Advisor
A case manager works on a postacute transfer plan for a patient who is critically ill with sepsis and at risk for acute renal failure. Because the patient has a history of IV drug use, it is likely that long-term acute care hospitals will deny him admission.
 

Daily Q&A
Q&A: CPT coding for a segmental spinal fusion with pedicle screws
Source: Revenue Cycle Advisor
Q: I received confusing guidance regarding CPT coding for a segmental spinal fusion with pedicle screws placed at the L3 and L4 vertebrae. Would it be appropriate to report CPT code 22612 with add-on code 22614 for this procedure?

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Upcoming CMS Events
Wednesday, 10/3 - Final Modifications to the Quality of Patient Care Star Rating Algorithm Call
Monday, 10/15 - Submitting Your Medicare Part A Cost Report Electronically Webcast
 

Product Spotlight

Longitudinal Case Management: Designs Across the Continuum of Care

Case management has grown beyond the walls of inpatient care sites; it now also supports and manages care in ambulatory settings and during fragile transition periods. This book provides guidance on establishing case management processes to bridge the gap between care settings such as ambulatory, acute, and postacute.
 

    

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