Separate payment for nonhospice items gets more attention. A new joint report from the Department of Justice and HHS Office of Inspector General shows home health and hospice agencies remain firmly in the feds’ crosshairs. In the Health Care Fraud [...]
Check out these best practices for reducing your FCA risk if you bill OON. Should your facility participate in out-of-network (OON) billing? While some providers are forced to bill OON because health plans won’t enter into a network agreement, other [...]
When your EHR system is under siege, the losses are more than just financial. Hackers are the pests of the healthcare industry. And, when you least expect it, they sneak right in through the back door like a fly on [...]
In ICD-10, you look for individual codes for fracture and spinal injury. You need to exercise care when reporting cervical fractures with spinal cord lesions. Whereas ICD-9 has a single code for the two together, you may miss out a [...]
What you don't know about ERISA could be costing your practice big bucks If just the mention of Employee Retirement Income Security Act (ERISA) claims makes your head spin, you-re not alone. Many billers think filing an ERISA appeal is [...]
If you're billing for anesthetic injection services with dozens of surgery codes, you can expect to have a fight on your hands after July 1.The National Correct Coding Initiative version 9.2, which takes effect next month, includes 3,809 edits, among [...]
