Under the HITECH Act, the Department of Health and Human Services (HHS) is mandated to conduct periodic audits to ensure that HIPAA covered entities and business associates are complying with the HIPAA Privacy and Security Rules and Breach Notification standards. HHS'...
Florida Leads in Open Enrollment, Why is Insurance Verification Vital?
According to the United States Department of Health and Human Services (HHS), Florida leads the 37 states using the federally-run exchange with nearly 1.2 million sign ups at the end of open enrollment week 8 (January 3, 2015 to January 9, 2015). Since the enrollment...
Alzheimer’s Disease – Routine Tests Facilitate Early Diagnosis and Treatment
Alzheimer's disease is the most common form of dementia that causes problems with memory, thinking and behavior. Known as the 6th leading cause of death in the United States, Alzheimer's is a general term for loss of memory and other intellectual abilities that...
How to Avoid a RAC Audit?
Recovery Audit Contractors (RAC) audits, as physicians know, are part of the government's program to reduce fraud, waste, and errors in medical billing practices, especially Medicare and Medicaid. Improper payments include incorrect payment amounts, miscoding,...
ACA Grace Period and Importance of Insurance Verification
Under the Affordable Care Act (ACA), consumers who purchase subsidized coverage through health insurance marketplace (receiving premium assistance through federal tax subsidies) are given a 90-day grace period for paying their premiums before insurers are allowed to...
Dermatology Payments Likely to Reduce in 2015 and Further
It's time to focus on your dermatology medical billing as new developments in the healthcare field implies a reduction in physician payment in 2015 and may be in the coming years. In October 2014, the Centers for Medicare and Medicaid Services (CMS) published the...
Primary Care Physicians Use More Diagnostic Codes – Finds Study
Primary care physicians play a major role in delivering definitive care to patients at the point of first contact and continue taking responsibility for the same. They provide care for a wider range of health conditions than most specialists do, thereby introducing a...
Revenue Cycle Management (RCM) Outsourcing on the Rise, Black Book Survey Says
As per a survey conducted by Black Book Market Research, several hospitals have adopted outsourced RCM services in the last two years after carefully identifying and assessing the core competencies of their organizations. Many hospital leaders have recognized that RCM...
Diagnostic Coding for Deadly Pandemics – An Overview
It is very important to assign accurate diagnostic codes for a pandemic, for correct medical billing as well as tracking the outbreak. When submitting claims for treatment, you should report the ICD code in the diagnosis code field and provide additional documentation...
Routine Lung Cancer Screening – Important Vis a Vis Early Detection and Treatment
Providers can use the new HCPCS code - S8032 recently released by CMS for medical billing purposes when reporting low-dose CT for lung cancer screening. Lung cancer is considered the second most common cancer in the United States affecting both men and women....