Health disparities proven by Medicare claims data during the COVID-19 crisis underscore the need to transition to value-based reimbursement, according to CMS. Yesterday, the federal agency announced COVID-19 outcomes based…
HIPAA’s Privacy and Security Rules specify 18 data elements that an individual could use as a means to determine a patient’s identity. The majority of this vulnerable data are easily…
With concerns of COVID-19 having a disproportionate impact on certain individuals, such as minorities and the elderly, public health experts are requiring more detailed data, provided on a real-time basis…
Being nice can get you in trouble. But as David Glaser, Dr. Ronald Hirsch, and I have said over and over, being nice and putting patient care first should be…
CMS recently released the fiscal year (FY) 2021 ICD-10-PCS code set, which includes 544 new codes for Fragmentations of the veins and arteries, Drainages of the pelvic cavity, and Imaging…
From a compliance exposure perspective, we believe that the HIPAA risk associated with sending PHI abroad is simply untenable. HIPAA is an American law that does not extend beyond our…
A lot of information is appearing very fast about COVID-19 (coronavirus disease 2019), and medical coders have the extra challenge of sorting through the onslaught to find the bits relevant…
Overview of Proposed Rule Today, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to amend the methodology and other requirements for the U.S. Department of Health…
Some doctors don’t understand how coders compliantly select codes. This can set up coding-clinical disconnects. Frankly, I don’t always get it myself, and I’m pretty good at this coding thing.…
While the introduction of new COVID-19 reimbursement rules and regulations have brought on their share of confusion, there is one certainty healthcare organizations can bank on: oversight of incentive dollars…
Declining admissions? No one wants to come to your facility? Welcome to COVID-19. Maybe telemedicine can help. Faced with the unique circumstances under COVID-19, many skilled facilities are wondering how…
The FY21 ICD-10-CM codes will be finalized this month. The Centers for Medicare and Medicaid Services (CMS) released the final FY21 ICD-10-PCS codes on May 28, 2020 which was earlier…
"Our goal was to develop a single source of truth that is user-friendly, dynamic, and easily accessible," said Jeannette Wood, vice president of revenue cycle management for Privia Health. A…
What you need to know about payment parity, coding, advocacy and more from our experts. Payment parity CMS’ announcement of telehealth reimbursement payment parity is a huge win for our…
This transcript has been edited for clarity. John Whyte, MD, MPH: You're watching Coronavirus in Context. I'm Dr John Whyte, chief medical officer at WebMD. Today we're going to talk…
Healthcare costs and healthcare payments are closely tied, but worlds apart. As the COVID-19 episode slowly winks out (for now), hundreds of millions of Americans are confused, paying higher premiums…