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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…
Read MoreRecently, the United States Supreme Court issued its long-awaited decision on the constitutionality of the Patient Protection and Affordable Care Act (the “Act”).
Read MoreThe health plans are increasingly putting pressure on providers (especially surgeons) to utilize IN-network providers, vendors, facilities, etc.
Read MoreIf the court should even consider the case in the first place, there is a possibility the justices will rule the constitutionality of the law cannot be challenged until individuals
Read MoreConfused about how the new health care reform law really works? This short, animated movie — featuring the “YouToons” — explains the problems with the current health care system, the changes that are happening now, and the big changes coming in 2014.
Read MoreMedicare 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.
Read MoreSome practices may find that they cannot increase revenue as easily as they can decrease expenses. Both or a combination of the two can make a practice more profitable.
Read MoreThe following is a portion of the article “Mapping Out Revenue-Cycle Solutions” as provided by Health Leaders Magazine.
The full version may be found here.
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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