tci Medicare Compliance & Reimbursement - 2014 Issue 21
Industry Notes: CMS Keeps Part B Deductibles at Same Level, Though Part A Rises
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Article Overview
This Find-A-Code article summarizes a CMS announcement on Medicare deductibles and related beneficiary cost-sharing amounts for 2015, then shifts to a compliance/legal discussion about data breach litigation affecting a health system. It is relevant for billing and reimbursement professionals, compliance teams, and health information privacy stakeholders who need a high-level view of annual Medicare cost updates and emerging non-HIPAA breach litigation issues. The article also references a university health system settlement and mentions federal and state law claims tied to the breach context.
Why This Topic Matters
The piece highlights annual Medicare cost-sharing figures that can affect patient billing workflows and beneficiary financial planning. It also underscores that health data breach exposure may extend beyond HIPAA, making privacy, risk management, and litigation awareness important for providers and compliance personnel.
Article Sections
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CMS Medicare deductible and coinsurance updates
Summarizes CMS-announced changes affecting Medicare premium and deductible amounts for the upcoming year, along with related beneficiary cost-sharing information.
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Look Beyond HIPAA When Data Breaches Occur
Discusses a health system data breach lawsuit, including the legal and compliance context surrounding breach-related claims and settlement activity.
What You Will Learn
- How CMS communicated annual Medicare cost-sharing updates for beneficiaries
- What broad types of compliance and litigation issues can arise after a health care data breach
- Why non-HIPAA legal theories may be relevant in breach-related disputes
- How a settlement example can inform provider risk awareness
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance officers
- Privacy and security teams
- Healthcare administrators
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