FCA, Stark, Anti-Kickback & HIPAA get teeth with new civil monetary penalties. It’s safe to say that avoiding fraudulent claims has always been a best practice, but increases to civil monetary penalties (CMPs) serve to drive that point home. HHS, [...]
Compliance blunders just got more expensive. ICYMI: HHS, CMS, OIG and other health care agencies have dramatically increased civil monetary penalties for violating several major health care laws, including the Stark Law, the Anti-Kickback Statute, the Emergency Medical Treatment and [...]
Grab the mixed bag of new codes with respiratory system postprocedural hematomas, mediastinitis, and more. The final 2017 ICD-10-CM codes are already in, and pulmonology is one area with updates you may not want to miss. “Seems like ICD-10 implementation [...]
Major revisions to postprocedural hemorrhage, mediastinitis, and more. CMS finally released the definitive code set update for the new 2017 ICD-10-CM codes that will go into effect Oct. 1. “New codes always require adjustment of reporting practices since people have [...]
Major revisions to postprocedural hemorrhage, mediastinitis, and more. CMS finally released the definitive codeset update for the new 2017 ICD-10-CM codes that will go into effect Oct. 1. “New codes always require adjustment of reporting practices since people have to [...]
The following House bills were introduced: H.R. 863. A bill to amend title XVIII of the Social Security Act to adjust the fee for collecting specimens for clinical diagnostic laboratory tests under the Medicare program. Introduced Feb. 25 by Rep. [...]
Wheelchair suppliers can expect even more scrutiny thanks to harsh reports from the HHS Office of Inspector General. Of 230 K0011 wheelchair claims reviewed by an OIG contractor, only 13 percent met Medicare's coverage criteria for the item, the OIG says [...]
Find out why CMS now pays for 863.91-863.99When you use truncated diagnosis codes, you get denials. When Medicare uses truncated diagnosis codes, you get denials, too. That's why CMS added ICD9 Codes 863.91-863.99 as payable diagnoses for two abnormal bleeding [...]
You won't get paid for truncated codes If your lab gets a narrative diagnosis from the ordering physician, you'll have to assign the ICD-9 code to the highest degree of specificity. You can't add more information than the physician supplies -- [...]
The HHS Office of Inspector General may have an ambitious agenda for overlooking physician claims in the future, but the OIG's latest findings on physician claims are pretty encouraging. In a new report on National Correct Coding Initiative edits [...]
