Corporate Compliance

Other developments: CMS publishes patient privacy guidance, announces initiative to reduce avoidable hospitalizations, and more

Medicare Update for Physician Services, April 5, 2012

CMS publishes patient privacy guidance

On March 2, CMS published a certification letter that contains guidance concerning HIPAA standards. The letter specifically addresses permitted incidental uses and disclosures and includes reasonable safeguards that must be in place to ensure patient privacy.  

View the certification letter


CMS announces initiative to reduce avoidable hospitalizations

On March 15, 2012 CMS announced the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents, a new effort designed to improve care for people living in nursing facilities who are enrolled in Medicare and Medicaid.

View the certification letter
CMS publishes 5010 FAQs

CMS has posted several new FAQs about the transition to HIPAA 5010. 

View a listing of recent FAQs.

CMS updates additional documentation limits for Recovery Auditors  

On March 12, CMS issued an update that effectively raises the additional documentation requests (ADR) limits for Recovery Auditors. Beginning March 15, 2012, ADR limits will increase to 2% of all claims submitted in the prior calendar year, divided by eight. This represents a 1% increase from 2011. In addition, the maximum number of requests per 45 days is now 400, which is an increase of 100 from last year.  

View the update

Most Popular