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Listed below are recent articles for this department, grouped by publication. To access the full archives of a publication, click its related Archive link to the far right.

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APCs Weekly Monitor

• Q/A: Billing telemetry daily monitoring

  Q: Can our hospital code and bill telemetry daily monitoring in conjunction with a chest pain...

• Tip: CPT Chapter 11 codes take precedence in OB/GYN cases

  When coding OB/GYN procedures, remember that ICD-9 codes 630–679 in Chapter 11 (Complications...

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Compliance Monitor

• New report reveals $47 billion in Medicare fraud

  The government paid over $47 million in questionable Medicare claims – nearly three times the...

• Hospice group to pay U.S. $1.83 million in False Claims Act suit

  An Oregon hospice will pay the United States over $1.83 million to settle claims that it provided...

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Healthcare Auditing Weekly

• Tip: Ensure your employees know how to report problems

  Prevention is a big part of keeping your organization from facing serious compliance questions. Be...

• Tip: Ensure your employees know how to report problems

  Prevention is a big part of keeping your organization from facing serious compliance questions. Be...

• Hacker holds patient health information for ransom

  A Virginia hacker is asking for $10 million in exchange for the safe return of the personal health...

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HIPAA Weekly Advisor

• Q&A: prescription records

  Q. May a spouse obtain the prescription records of an incarcerated spouse without written...

• CVS to pay $2.25 million settlement for potential privacy breaches

  CVS will pay the price for potential privacy breaches on millions of patients’ records.

• New HHS Web site

  HHS launched a new Web site including content on HIPAA regulations under a user-friendly format.

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Medicare Weekly Update

• CMS Public Events: No events this week

  There are no public events this week.

• MedicareFind users: We’ll help FIND what you need

  MedicareFind subscribers and free trial users -- do you need help finding transmittals, rulemaking...

• Note: More on deductibles and coinsurance

  CMS recently published the Part A deductible and coinsurance and Part B deductible amounts for CY...

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The RAC Report

• HealthDataInsights posts several new RAC DME claim issues

  HealthDataInsights (HDI) has added multiple new RAC issues to their CMS-approved list in late...

• Could RAC mass adjustment changes mean increase in automatic audits?

  Providers who believe their RAC denials will be limited to 200 every 45 days (corresponding with...