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Initial results from one of the nations largest and most sophisticated perinatal improvement initiatives suggest hospitals can reduce harm to babies and mothers, and lower associated liability claims and pay-outs, through the use of high-reliability perinatal teams.
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Revenue and finance will be affected significantly by healthcare reform, and key aspects of reform already are impacting revenue streams, says Erin M. OConnor, Esq., practice leader with Cammack LaRhette Consulting in New York City.
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These are some of the key changes in the Health Insurance Portability and Accountability Act (HIPAA) final rule released recently by the Department of Health and Human Services (HHS):
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The maximum penalty for a data breach under the Health Insurance Portability and Accountability Act (HIPAA) is now $1.5 million, six times higher than the original fine under the law. That change is just one of the significant changes in the final HIPAA rule released recently by the Department of Health and Human Services (HHS).
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Healthcare giant HCA, based in Nashville, TN, must pay a Kansas City, MO, charitable foundation $162 million and undergo extensive auditing after a judge found that the for-profit hospital operator broke key agreements regarding charity care and capital expenditures in its billion-dollar purchase of hospitals from Health Midwest in 2002.
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Leveraging knowledge gained from previous initiatives, including an Institute for Healthcare Improvement (IHI)/Ascension Health/Premier collaboration, hospitals in the Premier Perinatal Safety Initiative (PPSI) use two methods to create high-reliability healthcare teams: increased adherence to evidence-based care bundles, and enhanced communication and teamwork.
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The first time Winthrop University Hospital in Mineola, NY, experienced a mobile review from National Government Services, New Yorks Medicare Administrative Contractor (MAC), the panel of three nurses reviewed 20 cases on site and denied claims for all 20 cases.
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