May 29, 2018 By Tom Meadows, HIPAA Compliance Officer, HIPAAwise.com
On May 1st, the OCR released new information regarding a covered entities responsibility for completing an appropriate risk analysis. Based on the dismal results that were achieved during the... May 23, 2018 If you have appeals pending at the Administrative Law Judge level awaiting a hearing, then you have probably heard a lot of buzz around CMS settlement processes. One option is the Settlement Conference Facilitation (SCF), an alternative dispute resolution... May 14, 2018 On May 10, 2018, the DME MACs published a joint article, Correct Coding – Submitting Oxygen Claims with Modifiers KX, GA, GY, and GZ. The article provides guidance in modifier usage so that liability is appropriately assigned when coverage is or is... May 7, 2018 The last few years have been especially difficult for suppliers of orthotic braces. As orthoses continue to be at the top of CMS’ list of audited codes, auditors continue to find new and creative ways to deny claims. As of late, denials related to telehealth... May 4, 2018 In this week's edition of the CMS Medlearn Matters newsletter CMS introduced the Provider Compliance Tips for Ordering Lower Limb Orthoses fact sheet. As background, the Medicare Fee-For-Service improper payment rate for lower limb orthoses was 66.7...
Risk Analyses vs. Gap Analyses - What is the difference? Understanding the latest guidance from the Office for Civil Rights.
Appeals settlements: SCF or LVA...Should I choose one or none at all?
KX Modifier required on Oxygen Claims on or after August 1, 2018
Orthotics and Telehealth – Am I violating the Anti-Kickback Statute?
Lower Limb Orthoses Continue to be in the Spotlight
