The numbers are in — more EHRs are connecting to software applications to boost data and enhance patient care. Background: A study initiated by the HHS Office of the National Coordinator for Health Information Technology (ONC) shows that there’s been [...]
Project reached 1.7 million people last year. The fanfare over the Senior Medicare Patrol has died down since the program’s debut in 1997, but the fraud-fighting initiative is still going strong — and racking up millions in related recoveries. In [...]
A Minneapolis man was sentenced to 18 months in prison for defrauding Medicaid of more than $500,000 over a three-year period. Allwell Tam Inimgba was responsible for billing services to Medicaid for Victory Home Care, Inc., and he allegedly filed [...]
Plus: Physical therapists in physician offices: prepare for more pressureThis past March, President Obama signed the Patient Protection and Affordable Care Act into law, which alters the amount of time you have to file your claims. In the past, Part [...]
CCI 15.3 retroactively deletes hundreds of edit pairs,but institutes over 18,000 new bundles. If you thought the last version of the Correct Coding Initiative (CCI) left no stone unturned in bundling moderate sedation, think again. CCI's version 15.3, which takes [...]
Question: This is somewhat new to me, but apparently Blue Cross Blue Shield (BCBS) does not like the diagnosis of 734 for flat feet. Here is the situation: Our patient has "flexible flat feet," and his father had Marfans syndrome [...]
CCI 15.3 retroactively deletes hundreds of edit pairs, but institutes over 18,000 new bundles. Correct Coding Initiative (CCI) left no stone unturned in bundling moderate sedation, think again. CCI's version 15.3, which takes effect Oct. 1, continues the trend, bundling [...]
Discovering common coding and billing errors is the first step to correcting them. Overcoding and undercoding contributed to $17,105,734 in projected improper payments from Medicare in 2008, according to the most recent Comprehensive Error Rate Testing (CERT) results. You can [...]
Insufficient documentation may cost optometrists over $17 million Can't seem to get yourself to document thoroughly? The latest CERT report results might help refocus your attention on proper documentation very quickly. According to the most recent Comprehensive Error Rate Testing [...]
