Learn from the biggest breaches of 2017. From new Conditions of Participation to billing snafus to medical review threats under the Targeted Probe & Educate program, home care and hospice providers have a lot on their plates. That's why it [...]
Here is a breakdown of the biggest losses of ePHI. HIPAA privacy has been at the forefront of healthcare compliance for a long time, and for the most part, data shows that practices understand HIPAA privacy. However, as fears about [...]
Get to know five more common ED diagnoses and their ICD-10 updates. According to the latest news, ICD-10’s official implementation date will be Oct. 1, 2015, and you should stop hoping for a delay. Like many medical practices, the American [...]
Almost half a million providers forfeited 1.5 percent of their pay this year, CMS reports. Forty percent of eligible professionals (totaling 469,755 practitioners) are subject to the 1.5 percent PQRS payment adjustment this year due to their 2013 reporting experience, [...]
Your choice of pain code will depend on the system where the pain occurs After much discussion about a possible implementation delay, ICD-10 is ready to go on October 1 of this year. As your ED coding team makes final [...]
Plus: Almost 40 percent of providers saw pay slashed by 1.5 percent due to PQRS non-participation. If you’re performing CT scans, it’s a good time to check your documentation. CMS recently found a 16 percent improper payment rate among practices [...]
Keep your practice out of OIG crosshairs for electrodiagnostic tests. An April 2014 report from the HHS Office of the Inspector General (OIG) shows the sharp rise in Medicare spending on electrodiagnostic tests between 2002 and 2011. Learn what you [...]
Use justification when you append modifier 59 and 25. The spotlight is on electrodiagnostic tests and procedures, due to rising scams and abuse. Can you withstand scrutiny? In April 2014, the Office of Inspector General (OIG) released a report that [...]
Hint: Focus on their 7 ‘questionable billing practices’ to stay clear. Neurologists are some of the most frequent providers of electrodiagnostic tests – and those procedures are a new area of interest for pinpointing fraud and abuse. An April 2014 [...]
Hint: Submit OASIS data first. CMS has had plans to roll out edits designed to check whether your claims match up with your OASIS data for some time. A recent OIG report may just push that issue higher up on [...]
