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Remember: fraud exists and it is amazingly/sadly common in healthcare. Tighten up your processes and procedures for paying bills, credit card usage and permissions. Differentiation of duties, cross checks and transparent reporting are great ways, all be it not ironclad ways, to stop or discourage fraud. It is ALWAYS the last person you would expect! …
DetailsCMS announced earlier this month that it will provide greater flexibility during the transition to ICD-10 billing codes, easing physicians’ trepidation about the move by incorporating several changes that the AAFP urged the agency to adopt. When CMS introduced plans for ICD-10, family physicians raised concerns that moving to a new set of codes required…
DetailsThe U.S. Supreme Court upheld a core component of President Barack Obama’s health-care law, backing tax credits used by millions of Americans to buy insurance and preserving the landmark measure that will define his legacy. The 6-3 ruling eliminates the most potent legal challenge to a law designed to cover at least 30 million uninsured…
DetailsLast week, we reviewed a new bill that would allow for a new two-year “grace period” for accepting the new set of ICD-10CM/PCS code that was presented to the US House of Representatives. Now, we will examine its potential for negative impact on implementation.
DetailsAmerican Airlines, back in 2008, started charging for checked baggage (really, I looked it up!). Up to that point, and even today, most of us have thought that the cost of the ticket should include the cost of checking a bag! As it turns out, the ticket price is only for getting us safely (not…
DetailsT75.1XXA — Swimmer’s cramp H60.331 — Swimmer’s ear, right ear B65.3 — Swimmer’s itch In preparation for the upcoming deadline for ICD-10 implementation, RT Welter presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to…
DetailsThe Sustainable Growth Rate (SGR) has been repealed! However, (and there is always a however) it has been replaced with a potentially much more caustic new scheme. The Feds are going to force providers into the quality reporting, clinical practice improvement and EHR MU world. They call it MIPS. Not participating will cost you up…
DetailsW56.01XA — Bitten by dolphin, initial encounter W56.12XS — Struck by sea lion, sequela W56.22XA — Struck by orca, initial encounter W56.31XA — Bitten by other marine mammals, initial encounter In preparation for the upcoming deadline for ICD-10 implementation, RT Welter presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with…
DetailsA new two-year “grace period” for accepting the new set of ICD-10CM/PCS codes has been presented in the form of a new bill to the US House of Representatives. The bill, H.R. 2652, Protecting Patients and Physicians Against Coding Act of 2015, was introduced by Representative Gary Palmer (R-AL-6) on June 4. The legislation is…
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