From Report on Medicare Compliance - As it considered a merger with another health system, WellSpan Health in York, Pa., handed part of due diligence to the compliance department. Since compliance is accustomed to evaluating its own billing and documentation, why not do the same for a potential partner and save a bundle by keeping the work in-house? WellSpan’s nurse auditors, coders, chargemaster analysts and compliance specialists dug in, says Wendy Trout, director of corporate compliance. Read more
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… 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
Check out all of the benefits, sample issues & more!