Are You Billing for Home Care Visits?
Physician home visits are under scrutiny by CMS for any possible fraud. In 2012, Medicare paid home care service providers about $236 million. As the population of Medicare age recipients…
Do You Meet the Security Rule Requirements for a Covered Entity?
Covered entities should be aware of differences between the Privacy and Security Rule requirements regarding protected health information. One major distinction is that the HIPAA Security Rule only applies to…
Are You a Covered Entity?
HIPAA defines a covered entity as one of the following: Healthcare provider who transmits information in an electronic form Health Plan Healthcare clearinghouse Most providers are covered entities, managing insurance-related…
What Should You Do After Discovering a Billing Error?
Just correct the problem and you will be compliant? No, but this is the first step in the right direction. According to the HHS in “A Roadmap for New Physicians…
OIG Special Fraud Alert Regarding Laboratories Payments to Referring Physicians
The OIG scrutinizes referring physician and laboratory arrangements. Two scenarios that involve transfer of value from laboratories to physicians are highlighted. These scenarios could represent possible fraud and abuse under…
Compliance with the Hazard Communication Standard
The goal of OSHA’s Hazard Communication Standard (HCS) is to “ensure that the hazards of all chemicals produced or imported are evaluated and that information concerning their hazards is transmitted…
Theft Tops Data Breach Incidents IN 2014
The OCR reports 54 data breach incidents affecting more than 500 people in first six months of 2014. About half are related to theft, most commonly involving laptops, desktop computers…
Does A Patient Own Their Imaging?
The answer is no. So who does? Healthcare providers and health plans are the owners of medical records. With respect to the imaging portion of the record, the facility creating…
Improper Payments for Evaluation & Management Services Cost Medicare Billions in 2010
According to the Office of the Inspector General’s report for 2010, Evaluation and Management services accounted for 30% of Medicare Part B payments, a total cost of $32.3 billion. However,…
What Would The Office Of Civil Rights Most Likely Find In a HIPAA/HITECH Audit?
Looking back at past audits by the Office of Civil Rights (OCR) is the best place to start. The OCR enforces the HIPAA Privacy Rule, Security Rule, Breach Notification Rule…
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