From Report on Medicare Compliance - Because they were burned last year when ICD-10 was delayed for a year, some hospitals may be gun shy about their investment in preparation for the Oct. 1, 2015, implementation of the new codes. But it looks more and more like ICD-10 will happen this fall, with CMS putting out resources for providers, payers and vendors, and end-to-end testing under way for a sample of volunteer Medicare fee-for-service providers. “I believe Congress will let the implementation deadline of October 2015 remain,” says Emily Evans, a partner in Obsidian Research Group in Nashville, and others agree. Read more
From Report on Patient Privacy - Until it is determined with certainty what led to last month’s giant Anthem, Inc. breach — if that’s ever possible — the event remains a giant Rorschach test, open to interpretation by any and all HIPAA covered entities (CEs), attorneys, advisors and regulators. Read more
From Report on Medicare Compliance - A Chicago-area physician pled guilty to taking kickbacks for prescribing an anti-psychotic drug and settled related false claims allegations in a case that represents the kinds of relationships that are coming to light now that the Physician Payments Sunshine Act database is open for business. In the criminal case, Michael J. Reinstein, M.D., pled guilty to one count of violating the anti-kickback statute in connection with almost $600,000 he received from… Read more
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