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Monthly Archives: May 2012
High Level E/M Codes are Coming Under Increased Scrutiny by the OIG
The May 8, 2012, Office of Inspector General’s report, Coding Trends of Medicare Evaluation and Management Services, says payments for E/M services increased 5% more than the rate of increase for all Part B payments from 2001 to 2010 (48% … Continue reading
Posted in CMS, Coding, documentation, Documentation, E/M, Medicare, OIG
Tagged audits, CMS, E/M, OIG
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CMS Releases E/M Comparative Billing Report
On June 4, CMS will release a national provider Comparative Billing Report (CBR) addressing Evaluation and Management Services.
Small Physician Practice Pays $100,000 to Settle HIPAA Violations
Recently shared on the American Health Lawyers Association (AHLA) Practice Group listserv. I thought I would share this with you in an effort to remind you how important it is to ensure ongoing HIPAA education is to you to ensure … Continue reading
Posted in HIPAA, Practice Management, Regulatory, Uncategorized
Tagged HIPAA, OCR, privacy, security, violation
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CMS Posts EHR Incentive Payment Recipient Information
In compliance with the HITECH Act’s requirement, CMS has posted the names, business phone numbers, and business addresses of Medicare eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) that have successfully demonstrated meaningful use and received a payment as of March 2012. Medicare … Continue reading
Posted in EHR, Meaningful Use, Medicare
Tagged CAHs, CMS, EHR, HITECH, incentive, Meaningful Use, Medicare
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Medicare’s PECOS Rules Change Ability to Refer
Provider Enrollment, Chain and Ownership System (PECOS) rules finalized by the Centers for Medicare & Medicaid Services (CMS) will make it easier for physicians to refer patients to specialists.
Posted in Credentialing, Medicare, PECOS, Regulatory
Tagged Medicare, PECOS, referral, rules
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Survey on Obtaining Payer Fee Schedules
A colleague of mine, Frank Cohen, is conducting a survey on your ability to obtain fee schedules from your payers. We obtain quite a bit of this information from payers on our client’s behalf and usually do not have an … Continue reading
Posted in Contracts, Miscellaneous, Practice Management, Uncategorized
Tagged fee schedules, payers, survye
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