Apr 6th, 2016
On March 29, the Centers or Medicare & Medicaid Services (CMS) finalized a mental health and substance use disorder parity rule for Medicaid and Children’s Health Insurance Program (CHIP) coverage. The final rule will bolster access to mental health and substance use disorder benefits for low-income Americans. The final rule was announced during the President ...
In Billing
Sep 8th, 2015
September 2, the U.S. Department of Justice (DOJ) published in Justice News an indictment of a fraud scheme in which more than $50 million in bogus bills were paid for alcohol and drug treatment services for high school and middle school students. A California state program (California’s Drug Medi-Cal program) was billed for services never provided to ...
Apr 1st, 2008
Instill Order When Government Investigators Knock at Your Door By Julie E. Chicoine, JD, RN, CPC Without a moment’s notice, federal and state agency investigators can show up at a health care provider’s office or a facility to investigate suspected fraud. Under such circumstances, clinicians, business managers and coding staff members of physician practices, hospitals, ...
Apr 1st, 2008
Avoid confusion by knowing where HCPCS comes from. By Brad Ericson, MPC, CPC, COSC There are few measures of the coding community’s breadth as wide as the Healthcare Common Procedure Coding System (HCPCS) Level II codes, one of the official HIPAA code sets. Publicly compiled from a number of different sources and used in a ...