Medicare fraud schemes abound in latest round of settlements. As the year winds down, enforcement appears to be ramping up. The following cases highlight the feds’ heightened scrutiny of Medicare fraud committed by physicians and other clinicians — and their [...]
Your referral sources who bill for advance care planning may want to brush up on the requirements, in light of new scrutiny on the topic. In a new report, the HHS Office of Inspector General reviewed 691 ACP services associated [...]
Ambulation distance figures prominently in audit findings. The HHS Office of Inspector General is seeing a chal-lenge to its latest charges of incorrect billing. Background: The OIG has been releasing a series of audits of home health agencies, noting that [...]
Hundreds of Fiscal Intermediary Standard System Direct Data Entry users were poised to have their FISS DDE access cut off on the eve of the Sept. 30 deadline to recertify their User IDs. HHH Medicare Administrative Contractor CGS said in [...]
NOE filing is at risk, MAC warns. Nearly half of home health and hospice FISS DDE users have not yet recertified their user access, which will spell bad reimbursement news after the Sept. 30 deadline. “Failure to recertify by September [...]
Question: A new patient reports to the pulmonolgist complaining of shortness of breath and coughing. The pulmonologist performs a moderately complex E/M service, then orders a spirometry (the private practice owns the spirometry equipment) and plethysmography. Based on test results, the [...]
Overcome provider concerns with these six tips. If your physicians are focused on the negative aspects of ICD-10, or are ignoring the upcoming implementation entirely, you’ll need to focus them on the positives. Having your providers on board is going [...]
Take these 4 steps to ensure you’re on the right track. You know that ICD-10 implementation in October 2015 will completely change the way you code diagnoses. But have you thought about how it might affect your staff’s productivity? With [...]
Test yourself with this quick quiz. ICD-10’s implementation is less than a year away, and you’ll be expected to know how to code all of your diagnoses on Oct. 1, 2015, since there is no “ramp up” period. Determine whether [...]
See #6 when providers trot out ICD-10 code V91.07XA, Burn due to water-skis on fire. Part of preparing for the transition to ICD-10 in October 2015 is combating any complaints from your providers about learning ICD-10. Arm yourself with these [...]
