In Billing
Dec 14th, 2018
Follow billing guidelines to ensure proper payment for this incentive payment model. The Medicare Diabetes Prevention Program (MDPP) expanded model is a structured behavior change intervention that aims to prevent the onset of type 2 diabetes among Medicare beneficiaries with an indication of pre-diabetes. The clinical intervention consists of a minimum of 16 intensive “core” ...
In CMS
Nov 1st, 2018
Anthem paid a $16 million settlement resulting from a series of attacks in both 2014 and 2015 that had the potential to expose personal health information (PHI) of 79 million people.  Although they paid the $16 million settlement, Anthem does not admit to any wrong doing.  This represented the largest PHI breach in US history ...
In CMS
Oct 30th, 2018
Thousands of consumers’ files in the Federally Facilitated Exchanges (FFE’s) Direct Enrollment pathway may have been compromised. The Centers for Medicare & Medicaid Services (CMS) said “anomalous activity” was detected in the portal on Oct. 13 and a breach was declared on Oct. 16. CMS issued a press release on Oct. 19. “At this time,” ...
In Billing
Sep 10th, 2018
When you remember there is a person at the heart of the balance, situations are resolved without frustration. In a busy private practice, to keep the office working efficiently, the front desk and checkout staff usually do not address billing issues. That’s the medical biller’s responsibility. Here are six tips for those answering billing questions. ...
In Billing
Aug 7th, 2018
In a time when many scoff at the potential of being levied steep penalties for violation of HIPAA rules, a judge just upheld a fine that the Department of Health and Human Services (HHS) issued in 2017 for Texas-based MD Anderson’s use of unencrypted devices. This penalty is stiff and says that you cannot just ...