tci Medicare Compliance & Reimbursement - 2014 Issue 3
Industry Notes
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Article Overview
This article summarizes several healthcare industry updates of interest to providers and coding professionals, including HIPAA security and privacy concerns, laboratory test classification changes from CMS, Medicare claims processing issues affecting home health, and CMS/HHS guidance related to the Jimmo settlement. It is relevant to practices, compliance staff, home health organizations, and billing teams that monitor operational and regulatory changes.
Why This Topic Matters
The article highlights regulatory and operational developments that can affect compliance planning, staff training, claim handling, and Medicare policy interpretation across different care settings.
Article Sections
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Windows XP Won’t Be HIPAA Compliant Starting April 8
Discusses HIPAA-related concerns tied to unsupported operating systems and the importance of maintaining appropriate safeguards for electronic information.
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This HIPAA Breach Lasted 4 Years
Covers a reported privacy breach involving inappropriate access to patient information and the operational importance of privacy policies, staff training, and auditing.
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CMS Grants ‘CLIA-Waived’ Status to 9 Lab Tests
Summarizes CMS guidance on laboratory test classification updates and associated billing considerations referenced in an MLN Matters article.
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Home Health Medicare Claims Processing System Glitches Cleared Up
Reviews Medicare claims processing system issues affecting home health claims and notes an ongoing remittance-related overpayment issue.
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Manual Changes, Education Call Shed Light On Change In Improvement Standard
Explains that CMS manual updates and provider education materials address guidance connected to the Jimmo settlement and the Medicare improvement standard.
What You Will Learn
- How HIPAA security concerns can arise from unsupported computer systems
- Why auditing and access controls matter for patient privacy compliance
- How CMS announcements can affect laboratory test classification and related billing workflows
- What types of home health Medicare claims processing issues were addressed by system updates
- How CMS/HHS guidance related to the Jimmo settlement was communicated to providers
Who Should Read This
- Physician practices
- Home health agencies
- Compliance officers
- Medical billers
- Medical coders
- Revenue cycle staff
- Healthcare administrators
Codes Discussed
Modifiers Discussed
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