From Report on Medicare Compliance - Wyoming surgeon Razi Saydjari passed his meaningful-use audit with flying colors except when it came to the security risk assessment. He flunked that, according to the auditors hired by CMS to audit physicians and hospitals that had accepted payments to adopt certified electronic health records (EHRs). If they are out of compliance with any of the dozen or so core measures, CMS takes back the entire EHR incentive payment for the audit period. Read more
From Report on Medicare Compliance - The backwater of ICD-9 procedure coding is a busy city in ICD-10, and it’s causing some hospitals to assign cases to inaccurate MS-DRGs. If coders make even one false move in the complex process of selecting an ICD-10-PCS procedure code, the hospital assigns the case to an MS-DRG that yields too much or too little reimbursement, and incomplete data is recorded for pay for performance programs and other quality metrics. Read more
From Report on Patient Privacy - So far this year, the HHS Office for Civil Rights (OCR) has announced four enforcement actions resolving allegations of HIPAA violations, with two coming the same week; both involved the theft of an unencrypted laptop. On March 16, OCR announced a $1.55 million settlement with North Memorial Health Care of Minnesota that was triggered by a laptop that was stolen in July 2011. The twist in this case is that a… Read more
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