tci Medicare Compliance & Reimbursement - 2022 Issue Q1

Industry Notes: Boost Medicare Claims Success With Helpful Compliance Data

If you’re confused by the HIPAA Simplification rules and how they apply to electronic healthcare transactions, you may want to review the top problems the feds see on the daily to ensure your Medicare claims stay compliant. Details: Since 2019, the Centers for Medicare & Medicaid Services (CMS) National Standards Group has been researching HIPAA Simplification rules’ woes. The agency has performed 20 compliance reviews, which reveal that more than $16 billion could be saved if covered entities (CEs) improved their compliance plans and aligned with the HIPAA regulations, a CMS release indicates. For example: In a new...

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