tci Medicare Compliance & Reimbursement - 2018 Issue 16
Industry Note: Keep Revalidation Information Safe from Cyber Attack
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Article Overview
This article reviews a CMS Medicare Learning Network booklet focused on protecting provider identity, enrollment, and billing data within PECOS. It is relevant for clinicians, practice administrators, and billing professionals who manage Medicare enrollment information and want a high-level overview of privacy and fraud-prevention guidance.
Why This Topic Matters
The topic matters because provider enrollment and revalidation data are sensitive and can affect Medicare participation, practice operations, and fraud risk if compromised.
Article Sections
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CMS guidance on protecting PECOS information
Introduces a CMS Medicare Learning Network booklet and the general privacy and fraud-prevention context for provider enrollment data.
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Privacy and security topics highlighted in the booklet
Summarizes the broad categories of administrative and security practices discussed for safeguarding clinician and practice information.
What You Will Learn
- The general purpose of the CMS booklet on PECOS privacy and identity protection.
- The broad categories of safeguards discussed for enrollment and revalidation information.
- Why provider data security is relevant to Medicare participation and fraud prevention.
- Who may benefit from reviewing the guidance in a practice setting.
Who Should Read This
- Medicare clinicians
- Practice administrators
- Billing staff
- Enrollment specialists
- Compliance professionals
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