Regulatory Compliance
by: Elizabeth Hogue
What should providers do to identify imposter among their nurses?  Agencies should do frequent competency checks, regular licensure checks, verify education and more.
Despite most symptom codes not being PDGM-approved primary diagnoses, they are still making their way into the primary code position on claims, according to data from Strategic Healthcare Programs’ (SHP) National Client Database which collects the top 10 questionable encounter codes assigned.
New versions of the cost report forms for home health agencies account for one new field and the removal of an outdated field.
Can you share some key strategies for implementing an effective vendor risk management program that aligns with the HIPAA Security Rule?
New updates to the Medicare Claims Processing Manual address a handful of issues that have caused confusion for agencies, claims processing systems and claim reviewers.
The growing number of large data breaches is an important reminder that providers must prioritize cybersecurity to protect patient information.
Review your policies around noncompete clauses, as well as your employee salaries, but don’t act — yet — as two new federal rules targeting these topics will certainly face challenges in court, according to experts.
As increasing documentation challenges create more barriers to productivity, shiny new AI and machine-learning tools are emerging — promising to improve efficiencies and clear any productivity roadblocks caused by documentation or lack thereof.
Come October, coders could have a way to capture a post-acute encounter for sepsis aftercare if the proposed code Z51.A (Encounter for sepsis aftercare) is finalized later this year.
As remote work becomes more common, what are the challenges and solutions for ensuring HIPAA compliance in home office environments?


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