tci Medicare Compliance & Reimbursement - 2014 Issue 15
Industry Notes: Patient Safety Wins With Limits For Nurses
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Article Overview
This article is a multi-topic industry update for healthcare professionals, coders, and compliance staff. It summarizes a Massachusetts patient-safety staffing measure, Medicare audit findings affecting annual wellness visits and evaluation and management coding, CMS updates on ICD-10 testing and code freeze timing, resources on Medicare signature requirements, and a HIPAA criminal enforcement case. The piece is relevant to practices tracking compliance, documentation, coding updates, and regulatory changes.
Why This Topic Matters
It brings together several operational topics that affect coding accuracy, documentation, compliance workflows, and awareness of federal and state healthcare policy changes.
Article Sections
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Patient Safety Staffing Measure in Massachusetts
A state legislative change aimed at patient safety in intensive care settings and the response from nursing leadership.
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CMS Reveals Auditors’ Findings Regarding AWVs
Medicare audit observations related to annual wellness visit claims and a separate payment review example involving evaluation and management services.
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CMS Finally Releases Stats on ICD-10 Testing
CMS updates on ICD-10 testing activity, testing participation, and the status of the transition timeline.
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Diagnosis Freeze May Thaw
Discussion of ICD code freeze timing, scheduled update windows, and the ongoing evolution of ICD-10-CM guidance.
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Need Guidance On Signature Requirements? CMS Has Your Document.
A CMS resource roundup focused on Medicare signature documentation requirements across different settings and services.
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You Could Get A Prison Sentence For HIPAA Violations
A reported criminal enforcement case involving alleged unauthorized access to protected health information and federal investigation activity.
What You Will Learn
- How this update connects patient safety policy with healthcare operations
- What CMS and auditors highlighted about Medicare wellness visit claims
- What the article says about ICD-10 testing and code freeze timing
- Where CMS directs providers for signature requirement guidance
- Why HIPAA violations can have criminal consequences
Who Should Read This
- Medical coders
- Billing and compliance staff
- Physicians and practice managers
- Health information management professionals
- Healthcare administrators
Codes Discussed
Code Ranges Discussed
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