Tagged with HIPAA

Anthem Ohio Clinical Laboratory Improvements Amendments

Beginning May 1, claims that are submitted to Anthem Blue Cross and Blue Shield (Anthem) of Ohio for laboratory services subject to the Clinical Laboratory Improvement Amendments (CLIA) 1988 federal statute and regulations will require additional information to be considered for payment.

CMS Claim Status Category and Claim Status Codes Update

CMS has released updates to the claim status and claim status category codes used for the Accredited Standards Committee, Health Care Claim Status Request and Response and ASC Health Care Claim Acknowledgment transactions.

HHS to Cap HIPAA Fines Based on ‘Culpability’

The Department of Health and Human Services (HHS) has published it’s Notice of Enforcement Discretion Regarding HIPAA Civil Monetary Penalties, updating the maximum amount it will penalize providers, health plans and business associates for HIPAA violations.

New Jersey Medicaid Issues Telehealth Coverage and Reimbursement Guidance

October 2018 ~ The New Jersey Department of Human Services, Division of Medical Assistance and Health Services (DMAHS) issued a newsletter to NJ FamilyCare (NJFC) providers to clarify the requirements for the provision and billing of NJFC services via telehealth and telemedicine. The guidance comes as a follow-up to the New Jersey Telemedicine and Telehealth…

CMS Issues Clarification around Texting Patient Orders

CMS, on December 28th, issued a Survey and Certification Memorandum (S&C Memo) to state survey agencies to clarify and reinforce its position that it prohibits physicians and health care providers from texting orders.