Choose procedure code with pathology report in hand. Integumentary procedures hold lots of snares for coders — from procedures codes to diagnosis codes to modifiers — and mistakes in these cases could cost your surgical practice significant pay. Let our [...]
If you thought the feds might slow down their enforcement activity as providers struggle with COVID-19, you’d be wrong. In fact, it looks like they’re ramping up for more investigations. Now: The HHS Office of Inspector General (OIG) added 25 [...]
Therapy episodes would get reimbursed less. If your claims are dominated by episodes with high therapy, no recent hospital stays, or patients with behavioral health conditions such as schizophrenia, bipolar disorder or drug addiction, Medicare’s draft for HH PPS payment [...]
Take note of the areas HHS will be watching. Are you guilty of one of the top-six HIPAA compliance issues that tend to trigger investigations and enforcement actions by the HHS Office for Civil Rights (OCR)? If so, you’d better [...]
Vague codes will mean returned claims under HHGM. Your mastery of ICD-10 diagnosis coding may become even more important if home health payment reform proceeds as planned. In a new payment reform model that the Centers for Medicare & Medicaid [...]
Plus: Episodes shortened to 30 days if new payment model adopted If you thought regulatory and billing requirements like face-to-face, Pre-Claim Review and Value-Based Purchasing were your chief concerns under Medicare, you may have to think again. The Centers for [...]
Warning: HIPAA investigations can drag on for years. Both federal and state authorities are getting serious about HIPAA compliance, and the result is millions paid out in CMPs and settlements. Are you next? Since 2003, the HHS Office for Civil [...]
These 6 state AGs are also getting involved in HIPAA enforcement. Are you guilty of one of the top-six HIPAA compliance issues that tend to trigger investigations and enforcement actions by the HHS Office for Civil Rights (OCR)? If so, [...]
Breaches rose by 10 percent in first half of this year versus last year’s numbers. The United States is home to about 320 million people, which may sound like a high number — until you hear that nearly 246 million [...]
Breaches rose by 10 percent in first half of this year versus last year’s numbers. The United States is home to about 320 million people, which may sound like a high number—until you hear that nearly 246 million records were compromised [...]
