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November 19, 2020
CoP Compliance in the Face of COVID 19: No Time to Cut Corners: Part 2
By Marvin D Mitchell, RN, BSN, MBA Now more than ever it’s no time to cut corners. EDITOR’S NOTE: This article is an expansion of the original piece, “CoP Compliance in the Face of COVID-19: No Time to Cut Corners,” originally published April 1, 2020. Recent articles by Marie Stinebuck, Edward Hu, MD, and Stefani Daniels touch…
Expect to see legislation on bipartisan issues, such as drug pricing and balance billing. The Associated Press and broadcast networks announced on Saturday that former Vice President Joe Biden has won the 2020 presidential election. The Trump campaign and Republican groups have initiated a number of election-related lawsuits across the…
OIG determines admissions to inpatient rehab not appropriate. Last week, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) released an audit of OSF Saint Francis Medical Center in Peoria, Ill. In this audit, the majority of the errors were once again due to admissions…
October 29, 2020
Federal Authorities May Impose Civil Penalties against Hospitals Paying Ransomware Demands
By Edward Roche, PhD, JD Hospitals could be charged $250,000 or twice the demand amount, whichever is greater. In October 2020, the United States Department of the Treasury’s Office of Foreign Assets Control (OFAC) issued an advisory on potential sanction risks for facilitating ransomware payments. It warned that entities, including hospitals, paying off ransomware extortion…
October 21, 2020
Auditors Are Ramping Up Operations
By Sean M. Weiss, CEMA, CMCO, CPMA, CPC-P, CMPE, CMPM, CPC-P A culture of compliance is the key to success. There are no indications that audits of healthcare entities by government payers are slowing down – if anything, the ramping up of audit operations that was hinted at a short while ago has indeed materialized. Commercial payers are moving just as…
MSPB could be the “new normal” for length of stay. We have all gotten to hear that phrase – a “new normal” – over the past 6-9 months, as we have dealt with the COVID-19 pandemic, and as tough as it is to admit, it is probably real. But maybe…
October 8, 2020
New Rule: Providers Required to Transmit Electronically All Records to QIOs
By Ronald Hirsch, MD New rule appears to be fraught with problems and challenges. In a provision glossed over by most, the 2021 Inpatient Prospective Payment System (IPPS) Final Rule introduced a requirement that all providers transmit all records to Quality Improvement Organizations (QIOs) via electronic means as of Oct. 1, 2020. As a…
Vote on the continuing resolution (CR) helps providers with Advanced Payments. The U.S. Senate passed a continuing resolution (CR) this evening, which will keep the federal government open through the middle of December. As the government’s fiscal year ends today (Wednesday) at midnight, the CR was passed just in time.…
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