1st Talk Compliance features guest Raymond Ribble, CEO and Founder at SPHER, Inc., on the topic of “Employee Snooping & Insider Threats.” Ray joins our host Catherine Short to discuss snooping and insider threats and why user monitoring and ePHI access strategies are vital to the security of sensitive patient information and data protection. With so much attention and money surrounding cybersecurity in the healthcare industry, malicious employees may decide to purposefully disclose patient information. Since employees and contractors may have knowledge of your network setup, vulnerabilities, and access codes, snooping employees with malicious intent hold the key to exposing your organization to a series of unwanted risks and threats. Listen as we identify signs of unauthorized access, provide guidelines to prevent snooping, and offer procedures to detect insider threats.
The Centers for Medicare and Medicaid Services (CMS) have created over 50 new C-codes (C7500–C7555) for Ambulatory Surgical Centers (ASCs) that affect many procedures. These codes were created to allow additional payment for packaged services for ASCs. This article highlights the new C-codes that affect Cardiology, Interventional Radiology and Electrophysiology.
Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX, answers some common questions and provides explanations related to the education surrounding Automatic Dispensing Cabinets, Patient Care, and the Case of Nurse RaDonda Vaught.
Many practitioner audits fall short of best practices. The modern healthcare environment and complex goals for compliance require time, expertise, and attention to detail. Ideally, audits occur at regular intervals and identify incidents and patterns of potential billing and coding risk. There are also some surprising upsides of professional audits that include greater visibility of under-coding.