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258 search results for: data

DMEPOS – In Compliance with CMS

February 22, 2023/in Abuse, AKS, Anti-Kickback Statute, Audits, Billing, Company Culture, compliance program, Compliance Tips, Compliance Training, Employee Training, Employee Zone, Ethics, Fraud, Fraud, Waste, and Abuse, Healthcare Compliance, Healthcare Compliance Software, Healthcare Law, Medicaid, medical records, Medicare, Medicare Rules, mobile security, physician self-referral law, Podcasts, Policy Management, Risk Management, Security, self-disclosure, Stark Law, Training, Vendor Zone, Waste, Whistleblower, Wrongdoing

1st Talk Compliance features guest Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., on the topic “DMEPOS – In Compliance with CMS.” Rachel joins our host Catherine Short to discuss special payment rules associated with durable medical equipment, prosthetics, orthotics and supplies. DMEPOS products must meet quality standards, suppliers need to be accepted by Medicare to participate, similar to providers, and are subject to fraud, waste, and abuse laws. This episode will provide an overview of participation and quality requirements, relay the latest compliance and requirements updates, and discuss the consequences of non-compliance, as well as submitting false and fraudulent claims.

Evaluation and Management Updates 2023, Training, Q and A- Audio Version of the Training

February 21, 2023/in Audit Zone, Audits, Billing, compliance program, Compliance Training, Data Privacy, E/M, EHR, Evaluation and Management Coding, Healthcare, Medicaid, medical records, Medicare, Medicare Rules, Podcasts, Training

An audio version from the live event: It’s important to understand how the application of the 2023 E&M codes impacts reimbursement. Inaccurate coding and inefficient documentation practices can result in a decline in revenue and increase the likelihood of downstream inaccuracies of patient data. Join Panacea Healthcare Solutions’ Director of Coding & Documentation Services, Becky Jacobsen, CCS-P, CPC, CPEDC, CBCS, MBS, CEMC, BSN, and Executive Vice President of Coding & Documentation, Kathy Pride, RHIT, CPC, CCS-P, for a complimentary 90-minute training where they will review the 2023 E&M documentation guidelines and requirements and provide examples on how to improve your internal documentation processes to ensure appropriate reimbursement and avoid compliance issues.

Get to Know the 2023 E/M Updates: Training and Q&A Session Feb 7th

February 1, 2023/in Audits, Blog, E/M, Evaluation and Management Coding, Healthcare Law, PHI, Training

Executive Vice President of Coding & Documentation, Kathy Pride, RHIT, CPC, CCS-P, and Director of Coding & Documentation Services, Becky Jacobson, CCS-P, CPC, CPEDC, CBCS, MBS, CEMC, BSN at Panacea Healthcare Solutions will lead the complementary training and Q&A session, “Evaluation and Management Updates 2023: Training and Q&A” on February 7, 1-2:45 pm ET

Evaluation and Management Updates 2023: Training and Q&A

January 19, 2023/in Audit Zone, Audits, Billing, Boards, Compliance Tips, Compliance Training, Data Collection, Data Security, Employee Training, Evaluation and Management Coding, Healthcare Law, Human Resources, ICD-10, ICD-10-PCS, Webinars

Join Panacea Healthcare Solutions’ Director of Coding & Documentation Services, Becky Jacobsen, CCS-P, CPC, CPEDC, CBCS, MBS, CEMC, BSN, and Executive Vice President of Coding & Documentation, Kathy Pride, RHIT, CPC, CCS-P, for a complimentary 90-minute training where they will review the 2023 E&M documentation guidelines and requirements and provide examples on how to improve your internal documentation processes to ensure appropriate reimbursement and avoid compliance issues. A live Q&A at the end of the training will provide the opportunity to ask questions. Those who register will receive the recording along with a post-training FAQ sheet to reference as you put these new guidelines into practice.

Employee Snooping & Insider Threats

January 10, 2023/in Company Culture, compliance program, Compliance Tips, Compliance Training, Cybersecurity, Data Collection, Data Privacy, Data Security, Employee Training, Employee Zone, Ethics, Healthcare Compliance, Healthcare Compliance Software, Healthcare Law, HIPAA, HIPAA Privacy Rule, HIPAA Zone, HITECH, medical identity theft, medical records, mobile security, PHI, Podcasts, Privacy, Protected health information, Risk Management, Security, security breach, Security Zone, social media, Training, Whistleblower, Wrongdoing

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.

Big Changes in 2023 for Ambulatory Surgical Centers (ASCs)

January 4, 2023/in Blog, Healthcare Compliance

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.

The Safe Harbor Law: A Practical Approach

January 3, 2023/in Breach, compliance program, Compliance Tips, Compliance Training, Cybersecurity, Data Privacy, Data Security, effective compliance program, Employee Training, Healthcare Compliance, Healthcare Compliance Software, Healthcare Law, HHS, HIPAA, HIPAA Privacy Rule, HIPAA Zone, HITECH, mobile security, OCR, Online Healthcare Compliance Training, PHI, Privacy, Risk Management, Security, security breach, Security Zone, Training, Webinars

Raymond Ribble is the CEO and Founder at SPHER, Inc. a market-leading compliance analytics, cyber-security solution addressing: HIPAA compliance, State Privacy Laws, and ePHI security threats and our expert presenter for this webinar. HIPAA data breach penalties typically get measured in millions of dollars even following an organization implementing NIST cybersecurity framework measures. With the new HIPAA Safe Harbor Law, HHS and OCR may consider increased penalty mitigation when an organization can demonstrate it has been following established good security practices. Our presentation will examine what are the established security practices for healthcare, and how to pivot your organization’s security profile in order to mitigate breach penalties in the event of an event.

Evaluation and Management Updates 2023

December 15, 2022/in Billing

Is your team prepared for E & M updates? Find out about the latest guidelines and understand important changes in effect January 1, 2023. It’s important to understand how the application of new codes impact reimbursement. Claims may be denied or delayed by payers, or patient data may be inaccurate which increases the likelihood of […]

Cybersecurity is Patient Safety

November 16, 2022/in Blog, Cybersecurity, Data Security, Patient Safety

In order to cultivate a culture of compliance organizations need to take a “patient safety first” approach to cybersecurity. Guest Author: Rachel V. Rose, JD, MBA

A Business Associate Agreement? Tell Me More!

November 14, 2022/in Breach, Business Associate, Business Associate Agreements, compliance program, Compliance Tips, Compliance Training, Cybersecurity, Data Collection, Data Privacy, Data Security, DOJ, Education, effective compliance program, Employee Training, Employee Zone, Employment Law, Healthcare Compliance, medical identity theft, medical records, PHI, Podcasts, Privacy, Protected health information, Risk Management, Security, security breach, Training

1st Talk Compliance features guest Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX, on the topic of “A Business Associate Agreement? Tell Me More!” Rachel joins our host Catherine Short to discuss how Business Associate Agreements (BAA) are not new; however, some individuals are new to healthcare and others never understood what a BAA is exactly. A BAA is a contract that fundamentally gives assurances that the parties are complying with the Security Rule and Privacy Rule, setting parameters in the event of a reportable security incident or a breach, and states how the sensitive data will be returned and destroyed at the end of the relationship. This presentation not only seeks to dispel myths about why certain language is prevalent in nearly all BAAs, but also provides insight into other provisions, and items for consideration, in light of the 21st Century Cures Act.