Medicare Par vs Non-Par. Whats the difference?
VA claims that have been denied in error are eligible for reconsideration. Here's what you need to do...
What’s going on at KMC University? Here’s your weekly update on everything new and exciting. Keep us bookmarked to check in regularly!
In guidance released late last week, the U.S. Department of Health and Human Services announced the latest Provider Relief Fund (PRF) application period has been expanded to include provider applicants such as chiropractors that have not yet received Provider Relief Fund distributions.
Should your Medicare patient receive an ABN on their first visit? The answer may surprise you...
3rd Party Billing and Collections
As VA navigates contracts with Third-Party Administrators to handle VA claims, it appears some claims have been denied in error. Most are due to simple routing errors.
Let's talk about group practice Medicare enrollment rules. Do you need your own NPI number for Box 24J?
Are you ready for the New Evaluation and Management rules coming on January 1?
New code 99072 helps with billing during COVID and new ICD-10 codes are out!
The Cybersecurity and Infrastructure Security Agency (CISA) is currently tracking an unknown malicious cyber actor who is spoofing the Small Business Administration (SBA) COVID-19 loan relief webpage via phishing emails. These emails include a malicious link to the spoofed SBA website that the cyber actor is using for malicious re-directs and credential stealing.
The Office for Civil Rights in Action (OCR) has identified postcards being sent to health care organizations disguised as official OCR communications, claiming to be notices of a mandatory HIPAA compliance risk assessment.
The wait is finally over. You no longer need to feel like you are breaking the rules of Medicare by using an ABN form that expired in March 2020. CMS was delayed in approving the new ABN form; however, on June 24th, they updated their website and released the latest version.
Changes occur to CPT procedure codes every January 1st. Some get deleted, some updated, and others added. The list of new codes added for 2020 include 2 new procedure codes for dry needling: 20560 and 20561.
In an effort to reduce reporting burden, CMS would like “feedback on the RFI questions related to the MVP (MIPS Value Pathway) participation framework. Please see the proposed rule for instructions on how to submit comments.
The Chiropractic Medicare Coverage Modernization Act of 2019 (H.R. 3654) would allow Medicare beneficiaries access to the chiropractic profession’s broad-based, non-drug approach to pain management, which includes manual manipulation of the spine and extremities, evaluation and management services, diagnostic imaging and utilization of other non-drug approaches that have become an important strategy in national efforts to stem the epidemic of prescription opioid overuse and abuse.
The Medicare Administrative Contractor (MAC) National Government Services (NGS) notified providers that they will no longer accept handwritten 1500 claims as of June 2019. If you are still submitting handwritten claims to NGS, you do have alternative options.
3rd Party Billing and Collections
Starting June 6, 2019: If you are a network provider with VA you need to pay close attention to the many changes that have occurred over the past year regarding how you receive referrals, where supporting documentation is sent, how claims should be billed and who pays the claims. Many times, the process required the provider to connect with a variety of sources; some internal with VA and others via 3rd party carriers or network administrators.
There was a story circulating recently about a woman who suffered a stroke after practicing an advanced yoga pose. The story gave details about how the pose had caused a small tear in her carotid artery which, in turn, caused a small stroke.
If you are confident that you have a solid HIPAA and/or OIG compliance process in place, you can stop reading now; but if you have even the smallest concern that you’re not compliant, we’re here to help you sort it out.
The UW Medicine had 974,000 patients’ Protected Health Information exposed online due to accidental removal of protections on a website server. As a result, internet searches allowed “sensitive patient information to be accessed by unauthorized individuals...
CMS provided some clarification on why it is important to continue to check your 2019 MIPS eligibility status and what the difference is between voluntary reporting and opting in. Be sure you know all the facts in order to avoid any payment adjustments.