Apr 12th, 2019
Not sure about anyone else out there, but my mouth is part of my body. At least last time I checked. It’s been right there on the front of my face for as long as I can remember. Now, come to think of it, I am sure about everyone else. I have yet to see ...
In Audit
Mar 14th, 2018
Although most providers aim to stay under the radar of the Office of Inspector General (OIG) and private payers for fraudulent billing practices, others hide intentional wrong-doing and are fearful of being discovered. While still other providers choose to self-disclose once errors and fraudulent conduct is revealed. If your healthcare organization finds illegal billing activity, consider ...
By Jeremy Wale, JD, ProAssurance Risk Resource Advisor Nearly every hospital in the United States provides anesthesia services to patients. Most offer surgical services with general anesthesia, providing for safe operative care of patients. Such services bring risk exposures, many of which you can proactively mitigate. General anesthesia demands a patient’s airway be protected, and ...
Apr 1st, 2012
To keep designated health services in the clear, know Stark regulations and their exceptions. By Julie E. Chicoine, Esq., RN, CPC Physicians and their practices are undergoing increased government scrutiny with regard to their referrals and financial relationships for health care services. At the heart of this scrutiny lies the physician self-referral law, known as ...
Jul 1st, 2011
ICD-9-CM coding for TMJ is straightforward, but payer requirements vary widely. By G. J. Verhovshek, MA, CPC The temporomandibular joint (TMJ) is where the jawbone (the mandible) is connected to the skull bone (the temporal bone). These joints on either side of the head, just below the ear, allow the jaw to open and close, ...