16. July 2014

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Reader Question: Can Multiple Small Breach Reports Trigger An Audit?

Question: If our clinic reports every small HIPAA breach throughout the year instead of waiting until the end of the year, will this trigger an audit? Answer: 

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16. July 2014

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Privacy Rule: Know How State Laws May Complicate Your Mental Health HIPAA Compliance

Don’t rely on new HHS guidance until you check your state laws first. New guidance from the Department of Health and Human Services (HHS) may help to answer your toughest mental health information-related questions under the HIPAA Privacy Rule. But…

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16. July 2014

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Reader Question: Know What ‘Split Night’ Entails

Question: I’ve been hearing the term “split-night service” lately but don’t know what it is. Can you explain it to me?  Answer:

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16. July 2014

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What Are MUEs?

Although CCI may be very familiar to you, any practice filing a claim with Medicare should also know what MUEs are and how they work. “An MUE for a HCPCS/CPT® code is the maximum units of service

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16. July 2014

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Reader Question: Gastrostomy Tube Change Leads to 43760

Question:  A patient presented with a partially dislocated gastrostomy tube with pain at the site. The surgeon enlarged the skin opening and attempted unsuccessfully to remove the gastrostomy tube. After further enlarging the opening, the op note states that the…

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16. July 2014

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ICD-10: Take 2 Steps to Pinpoint Best Vertebral Fracture Options Under ICD-10

Tip: Confirm underlying disease and site before you pick up the right code. Orthopedics is one specialty that will experience tremendous change under ICD-10, especially in how you identify types of fractures. Simplify your future code choice for pathological fracture…

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18. June 2014

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Enforcement News: How Liability Insurers Try To Get Out Of Paying Your HIPAA Defense Costs

Plus: New regulations could be on the horizon for telemedicine. If your company undergoes a HIPAA investigation, will your directors and officers insurance policy cover the costs? Maybe — or maybe not. Drug-testing company Millennium Laboratories Inc. is facing just…

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18. June 2014

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Reader Question: Historical Review May Not Be Billable

Question: A patient had her past medical records, containing more than 10 years of history, sent to our doctor for review. Not all of the history related to our specialist. How can I charge for the doctor’s time reviewing these…

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18. June 2014

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Part B Mythbuster: Stabilization Doesn’t Always Equal Fracture Care

Plus: Don’t forget to bill supply codes to Medicare. A patient reports to your practice with a broken bone. The physician treats her and sends her home. This is automatically a fracture care claim … right? Wrong: Even if the…

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18. June 2014

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Reader question: Don’t Include Time as a Component in Your ED E/M Coding

Question:  A patient with a chronic gastric ulcer reports to the ED complaining of nausea, vomiting, and headache. One of our nurse practitioners spends 34 minutes with the patient, and performs an expanded problem focused history, problem focused examination with…

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