Compliance Monitor  | HCPro

In this issue - February 08, 2012

  1. HIPAA 5010 deadline extended, but threat remains, says AMA

  2. HHS task force: Consider privacy, security with text messages

  3. Tip: Perform your own internal investigation prior to government audit

  4. HIPAA Q&A: Flu shot requirement for hospital employees

  5. This month in Briefings on Coding Compliance Strategies

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Compliance Monitor
February 08, 2012
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HIPAA 5010 deadline extended, but threat remains, says AMA

CMS' Office of E-Health Standards and Services (OESS) has announced a 90-day period of "enforcement discretion" for compliance with the 5010 HIPAA transaction standards, but leading professional organizations say that is not enough, according to a February 6 HealthLeaders Media article.

Expressing serious concerns about the ability of physician practices and payers to make the conversion to the 5010 electronic transaction standards and ICD-10 (a new code set for medical diagnoses) in time, both MGMA and the AMA are calling for change. The two agencies say that the government needs to form a comprehensive contingency plan permitting health plans to adjudicate claims that may not have all the required data content; or the government needs to call an outright halt to the transition.
 

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HHS task force: Consider privacy, security with text messages

An HHS task force recommends that if the government encourages and helps develop health text messaging and mobile health programs, it better look into privacy and security concerns.

The task force Jan. 26 recommends that HHS conduct “further research” into the privacy and security risks associated with text messaging of health information and establish guidelines for managing such privacy/security issues.
 

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Tip: Perform your own internal investigation prior to government audit

If the government is paying your facility a visit, you'd better understand what they're looking for and figure out whether your organization did something wrong, says Lawrence Vernaglia, a partner in the Boston office of Foley & Lardner, LLP. "I think the goal is always to conduct your own analysis," he says. "You want to understand what the rules are and what is billable and not billable.” This investigation is not necessarily something you want to share with investigators unless you are specifically requested to do so.
One problem organizations may run into when they try to investigate a problem is the tight turnaround time they face as a result of the government's new 60-day rule. The Patient Protection and Affordable Care Act now requires all organizations that participate in Medicare and Medicaid to self-report and return overpayments within 60 days after the organization discovers the problem, says Vernaglia. This doesn't give the compliance officer a lot of time to evaluate the situation before responding, he says.
 

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HIPAA Q&A: Flu shot requirement for hospital employees

Q: Our healthcare facility is requiring employees to get the flu shot or they will have to wear a mask when within 6 feet of patients. Is this not a violation of employee or patient privacy?

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This month in Briefings on Coding Compliance Strategies

Every month, Compliance Monitor provides a sneak peek at Briefings on Coding Compliance Strategies, a monthly print and electronic newsletter that offers information and strategies for effectively and efficiently following inpatient coding documentation and billing rules.

The February issue examines:

  • CMS’ rebilling and prepayment demonstrations
  • Three-day payment window requirements
  • ICD-9-CM guidelines for coding pain

Visit HCMarketplace for more information or to subscribe to this newsletter.

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CONTACT US

Dom Nicastro
Senior Managing Editor
Compliance Monitor
dnicastro@hcpro.com


Volume 15 Issue 6
ISSN# 1529?2037

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