Compliance News Roundup: Intensity-Modulated Radiation Therapy

Compliance News Roundup: Intensity-Modulated Radiation Therapy

Posted by Healthicity
Nov 21, 2018 11:00:00 AM

1. A.G. Underwood Announces Arrest Of Suffolk County Doctor For Lab Testing Scheme – “Attorney General Barbara D. Underwood today announced that a Suffolk County medical doctor, Edwardo M. Yambo, 70, of Lake Grove, has been arrested and charged (together with his company, Edwardo Yambo, P.C.), with Grand Larceny in the Second Degree, a class C felony.” Get the full scoop >>

2. Anthem Pays OCR $16 Million in Record HIPAA Settlement Following Largest U.S. Health Data Breach in History – “Anthem, Inc. has agreed to pay $16 million to the U.S. Department of Health and Human Services Office for Civil Rights (OCR) and take substantial corrective action to settle potential violations of the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Rules after a series of cyber attacks led to the largest health data breach in history and exposed the protected health information of almost 79 million people. Get the full scoop >>

3. Deeper Than the Headlines: Intensity-modulated radiation therapy (IMRT) – Intensity-modulated radiation therapy (IMRT) is an advanced type of radiation procedure used to treat difficult-to-reach tumors. Not only can it be a complex medical procedure, the coding and billing compliance rules can also be complex. The OIG recently published a report detailing their findings from a review of how one Medicare Administrative Contractor (Novitas) incorrectly paid hospitals for IMRT services. They also cited that some of the mistakes were due to the hospitals’ lack of understanding of the rules. If your organization is involved in providing IMRT, you’re going to want to read this. Get the full scoop >>

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