Problems abound with OIG review processes, audited hospices charge. If an OIG medical reviewer comes knocking on your door, the result could be tens of millions in estimated overpayments. Take a look at five audit reports targeting hospices the HHS [...]
Providers strike back with claims of flawed audit processes. If you don’t think hospices are in the hot seat, think again. In just the last few weeks, the HHS Office of Inspector General has released four audit reports targeting hospices. [...]
Bone up on which parts of the HIPAA Privacy Rule apply during a public health emergency. Patient health privacy matters, even during an epidemic or pandemic. Doctor’s offices, as covered entities (CEs), must abide by the HIPAA Security and Privacy [...]
Know which HIPAA privacy rules apply during a public health emergency. Resident health privacy matters, even during an epidemic or pandemic. Facilities, as covered entities (CEs), must abide by the HIPAA Security and Privacy Rules. “In an emergency situation, covered [...]
Tip: Review your state’s privacy rule under a PHE. With the novel coronavirus dominating the news, the government issued updated guidance on the HIPAA Privacy Rule. The update advises on the best way to thwart the virus while protecting patients’ [...]
From vomiting to pressure ulcers, new codes debuted in October for these conditions. Although the 2020 ICD-10 codes have been in effect since October 1, it’s possible you haven’t had occasion to report many of them yet. Therefore, it’s a [...]
Never report injury codes from Chapter 19 for injuries that occur during a medical intervention. In Podiatry Coding and Billing Alert Vol. 11, No. 9, you learned all about the ICD-10 2020 codes and what you should expect in your [...]
Report new code L89.506 for pressure-induced deep tissue damage of an unspecified ankle. CMS recently published its list of the new ICD-10 2020 codes, but they won’t go into effect until Oct. 1, 2019. Read on to check out how [...]
The cost of preparing for the ICD-10 upgrade is far less than originally thought. Opinions at a Feb. 10, 2015 Energy and Commerce subcommittee hearing tipped the scale toward no more ICD-10 delays. If the final decision follows suit, it [...]
Knowing when to use G codes critical. Billing a pulmonary rehabilitation (PR) program is not really a cakewalk. Take care not to make these common missteps that could derail your PR services’ claims. Pitfall #1: You Think You Know Everything [...]
