RT Welter
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OCR Reveals HIPAA Audit Protocol

The U.S. Department of Health & Human Services’ Office for Civil Rights (OCR) has made public its long-awaited HIPAA audit protocol, posting it on its website June 26. The Health Information Technology for Economic and Clinical Health (HITECH) Act, which amended the Health Insurance Portability and Accountability Act in 2009, required OCR to conduct a pilot audit…

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Medicare has started the 3 year effort to re-validate ALL Medicare providers! You will be receiving a notification letter. You (the provider) only have 60 days to complete and submit the proper forms that must be completed.

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Coding Alert: The Proper Use of CPT 99211

As you may be aware United Healthcare and its Secure Horizons product line has recently taken interest in the use of CPT code 99211 with a sudden increase in audit activity. Along with UHC, more and more payers are requesting notes in an effort to verify proper provider documentation, coding and claims payments.

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