HIPAA Self Pay Rule

As they prepare to meet the Sept. 23 compliance deadline for the HIPAA Omnibus Rule, security leaders at healthcare organizations are finding one requirement particularly challenging.  The rule requires organizations to accommodate patients’ requests to not disclose to their health insurer information about a product or service that they paid for out of their own pockets.  Carrying out this requirement could prove difficult, in large part, because many electronic health record, e-prescribing and other information systems lack features that easily allow segments of data to be flagged or withheld from electronic transmission.  For more information please click here HIPAA SELF PAY RULE

Ankle-Foot Orthoses/Knee-Ankle-Foot Orthoses LCD related Policy Article – Revised

The related Policy Article for the Ankle-Foot Orthosis/Knee-Ankle-Foot Orthosis is being revised. The Policy Article with an effective date of January 1, 2013 included Coding Guidelines for AFOs that included a height requirement. The height requirement is being removed. The effective date for the revised Policy Article is for dates of service on or after January 1, 2013.  Please click here for announcement


The Centers for Medicare & Medicaid Services (CMS) announced today a final rule that will increase public awareness of financial relationships between drug and device manufacturers and certain health care providers. Called the “National Physician Payment Transparency Program: Open Payments,” this is one of many steps in the Affordable Care Act designed to create greater transparency in the health care market.

“You should know when your doctor has a financial relationship with the companies that manufacture or supply the medicines or medical devices you may need,” said Peter Budetti, M.D. CMS deputy administrator for Program Integrity. “Disclosure of these relationships allows patients to have more informed discussions with their doctors.”  Please click here to read the entire press release SUNSHINE