AMA CPT® Assistant - 2020 Issue 11 (November)
2020 Bulletin (November 2020)
2020 Bulletin Preparing for E/M 2021 Changes Payers, Apps, Data Brokers: Do You Know Who Has Your Health Care Information? Health care information is one of the most personal types of data an individual can possess and generate. Therefore, knowing who has your health care information and how it is being used is of utmost importance. Why Information Privacy Matters Regardless of whether health care information is legally defined as "sensitive," its privacy is critical no matter where it resides, how it is used, or why it is exchanged. There is always a need to evaluate whether providing...
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Article Overview
This bulletin brings together two topical articles aimed at physicians, coders, compliance teams, and health IT stakeholders. One article discusses privacy, consumer apps, data brokers, payer access, and federal interoperability-related policy, while the other addresses hospital price transparency requirements and the use of CPT code descriptors in publicly available charge information. The issue is relevant to organizations managing health information exchange, patient-facing technology, and disclosure obligations.
Why This Topic Matters
The bulletin highlights policy and operational issues that affect how health information is shared, protected, and presented to patients and the public. It is especially useful for readers who need to understand the broader compliance and privacy context around digital health, payer data access, and CPT-based transparency files.
Article Sections
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2020 Bulletin
Opening bulletin material introducing the issue and its themes.
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Preparing for E/M 2021 Changes
A bulletin topic referencing upcoming evaluation and management changes for 2021.
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Payers, Apps, Data Brokers: Do You Know Who Has Your Health Care Information?
Discussion of health data privacy, consumer apps, data brokers, telehealth, public health surveillance, and federal interoperability-related policy concerns.
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Why Information Privacy Matters
Background on why privacy and consent are important in modern health data exchange and technology-enabled care.
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Smartphone Apps Share Health Information with Data Brokers, Insurers, and Others
Overview of concerns involving consumer-facing apps, third-party data sharing, and the broader use of personal health information by outside entities.
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Absent Better Controls Around How Health Data Are Shared, New Technologies Aimed at Improving Health May Fall Flat
Discussion of how privacy concerns can affect patient trust and willingness to use digital health tools.
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AMA Introduces Privacy Principles to Bolster Trust and Improve Patient Control Over Personal Data
Summary of the AMA privacy framework and its broad policy themes for data governance and patient control.
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New CMS Regulation May Encourage Payer Overreach into Practice EHRs, Leading to Discrimination or Loss of Coverage
Discussion of payer access concerns, interoperability policy, and potential impacts on physician practices and patient coverage.
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Using CPT Codes to Comply With Hospital Price Transparency of CY 2020 Final Rule
Guidance on hospital price transparency requirements and the use of CPT descriptors in machine-readable and public-facing charge files.
What You Will Learn
- How the bulletin frames privacy and consent issues in digital health and health information exchange
- What general concerns are raised about consumer apps, data brokers, and payer access to health data
- How the article connects CMS and ONC policy to interoperability and patient privacy topics
- What broad price transparency issues are discussed for hospitals using CPT-based charge information
- Which organizations and policy initiatives are referenced in the bulletin
Who Should Read This
- Physicians
- Medical coders
- Compliance staff
- Health information management professionals
- Health IT and interoperability stakeholders
- Practice managers
- Hospital revenue cycle teams
Codes Discussed
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