Jun 17th, 2019
Never miss another education opportunity that offers AAPC-approved continuing education units (CEUs)! Look in the Knowledge Center for weekly announcements of upcoming events. Here’s what is available this week: Setting Your Business Up for MIPS Success in 2019 DATE: Tuesday, June 18 – 10 AM PT | 1 PM ET CUE Credit: 1.0 Cost: FREE In ...
The Department of Justice (DOJ) Criminal Division issued, April 30, a 19-page document entitled Evaluation of Corporate Compliance Programs. This document applies broadly to all industries where compliance is integral to operations and is not targeted specifically to healthcare. Know what prosecutors are measuring should your organization be charged with noncompliance. Three Overarching Questions ...
In Billing
May 31st, 2019
The Durable Medical Equipment Medicare Administrative Contractors (DME MAC) are changing the requirement that medical coders to use the right (RT) and left (LT) modifiers for certain HCPCS codes, and that the modifiers be used when billing two of the same item or accessory on the same date of service and the items are being ...
In Billing
May 30th, 2019
To protect the privacy of Medicare recipients and prevent fraudulent use of Social Security Numbers (SSN), a new, unique 11-character Medicare Beneficiary Identifier (MBI) is replacing the SSN-based Health Insurance Claim Number (HICN) for Medicare transactions such as billing, eligibility status, and claim submissions. The MBI does not change Medicare benefits. What’s Behind the Change? The ...
In Billing
May 29th, 2019
Consumers overspent $18.5 billion on diagnostic imaging in 2017, according to a UnitedHealth Group (UHG) research brief, released May 23. The health insurer attributes the overspending to price gouging by some providers. Echocardiograms in 2017, for example, cost patients anywhere between $210 and $1,830, according to the brief. The average was $480, but UHG says ...