tci Medicare Compliance & Reimbursement - 2014 Issue 1
Industry Notes
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Article Overview
This industry update summarizes several health care policy and administrative developments, including HHS/OIG oversight priorities, HIPAA audit funding concerns, CMS changes to the EHR meaningful use timeline, and home health billing/enrollment edits tied to provider file matching. It is useful for compliance staff, revenue cycle teams, home health agencies, and other health care organizations tracking federal program requirements and upcoming operational changes.
Why This Topic Matters
The article helps organizations stay current on federal enforcement, audit, and payment policy trends that can affect compliance readiness, billing workflows, and implementation timelines.
Article Sections
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OIG Identifies ‘Top Management Challenges’
Summarizes the OIG’s stated management and performance priorities for the year and the broad program areas involved.
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HIPAA Audits May Not be Coming Soon Due to Budget Issues
Discusses reported concerns about HIPAA Security Rule audit activity, funding limitations, and related oversight findings.
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CMS Postpones Stage Two EHR Meaningful Use Deadline by 1 Year
Covers CMS’s revised EHR incentive program timeline and the broader policy goals cited for the change.
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Home Health Agencies Brace for Reimbursement-Draining Provisions to Take Effect in New Year
Addresses upcoming home health claims edits, provider enrollment file matching issues, and related industry concerns about reimbursement policy.
What You Will Learn
- What federal oversight and program-integrity priorities were highlighted for the year
- What the article says about HIPAA audit funding and Security Rule compliance oversight
- How CMS adjusted the EHR meaningful use schedule
- What operational changes home health agencies were preparing for at the start of the new year
- What broad compliance and reimbursement issues are affecting Medicare, Medicaid, and related programs
Who Should Read This
- Compliance officers
- Health information management professionals
- Revenue cycle and billing staff
- Home health and hospice agencies
- Physician practices
- Health care administrators
- Policy and regulatory tracking teams
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