The 2023 Inpatient Prospective Payment System (IPPS) final rule includes a welcome payment rate increase, coding updates, and adjustments to quality and reporting programs. Review the major provisions of the rule to ensure your organization is in compliance.
Now that the fourth quarter has arrived, things are winding down for 2022. This is a good time to reflect on the past year of HIPAA compliance and prepare for 2023. Here is a roundup of HIPAA topics and some actionable tips for compliance.
While in the early stages of developing a nationwide directory of providers and services, CMS has already shown a commitment to information transparency. The agency published ownership data for all Medicare-certified nursing homes in September, making it easier to hold owners of multiple facilities—including private equity firms—accountable.
The variety of sources for commercial insurance requirements can present challenges to the utilization review (UR) specialist, as UR rules for every patient could differ depending on his or her insurance and that insurer’s policies. Apply these lessons to help UR manage commercial insurance requirements.
In early June, Congress released a bipartisan draft bill called the American Data Privacy and Protection Act. The goal of this bill is to create a regulation that organizations in any industry would need to accord with compliance. On the surface, this sounds great, but in reality, it is unrealistic.
