Part B Insider (Multispecialty) Coding Alert
Your Patients Are Watching You
PDF
If your explanation-of-benefits forms look suspicious to some of your patients, don't be surprised if they call in the feds. The Department of Health and Human Services' Senior Medicare Patrol Projects, an HHS initiative designed to educate Medicare beneficiaries on ways to weed out fraud and abuse in federal healthcare programs, is still going strong. According to the HHS Office of Inspector General, nearly 1.1 million beneficiaries have been trained.
Seniors educated under the project have made more than 23,000 complaints, about one-tenth of which were taken up by investigative agencies. In total, closed investigations have racked up more than $80 million for Medicare and other payers.
To see the report, go to http://oig.hhs.gov/oei/reports/oei-02-03-00120.pdf.
Part B Insider (Multispecialty) Coding Alert
- CODING:
Don't Let Defunct Edits Bite Into Your Reimbursement
If you're relying on your software to digest the Correct Coding Initiative edits [...] - PARTICIPATION:
July 'Double Whammy' Could Hit Nonparticipating Hardest
It just keeps getting more and more confusing. Now, not only will your payments from [...] - CCI:
April Brings Dozens of New CCI Edits
Attention, coders! Forget last month's coding rulebook, because it's a whole new ball game now. [...] - CCI:
Where Modifiers Won't Help, You Must Modify Your Behavior
Bad news for coders: Your ingenuity in using modifiers as a way of getting around [...] - MEDICARE:
OIG Gives Coding Company a Seminar in Pain
Have you been duped by coding and billing education companies that tout nonexistent formal affiliations [...] - STUDIES & SURVEYS:
Physicians Tightening Access for Medicare Patients
More and more physicians are hesitating to take on new Medicare patients - but they [...] - TEAR-OUT GUIDE:
Take Note of Added, Deleted ASC Codes
If you don't have hours to spend culling the Federal Register for the correct codes [...] - COVERAGE:
New Radiation Reimbursement Restrictions Could Burn You
Cahaba GBA announced a policy on coverage of intensely moderated radiation therapy (IMRT), a new [...] - COVERAGE:
Dx Should Be Reason for Extra Nursing Home Visits
If a physician visits a nursing home patient more frequently than Medicare will usually cover, [...] - APPEALS:
Carrier Reps Catch Customer-Service Spirit
The next time you call your carrier, you may be on hold for a little [...] - MODIFIERS:
Know Global Period Rules to Avoid a World of Trouble
If you're trying to bill for new services during the global period after a major [...] - ASSOCIATIONS:
Coders Should Have Access to Member Areas
Want to make sure you're billing in the most up-to-date code combinations and keeping up [...] - CODING:
Suppliers Divide and Conquer Disputed Code
Want to write your own codes? Build a big tent and invite everyone in. That's [...] - INDUSTRY NOTES:
Earn CMEs for Quality Improvement
Physicians have one more incentive to get involved with the Centers for Medicare & Medicaid [...] - PRESCRIPTION DRUGS:
Family Practitioners, Oncologists Hit by Drug Cuts
The Centers for Medicare & Medicaid Services unveiled a "dirty baker's dozen" of cuts to [...] - FRAUD & ABUSE:
Your Patients Are Watching You
If your explanation-of-benefits forms look suspicious to some of your patients, don't be surprised if [...] - TO PARTICIPATE OR NOT?
It makes sense for the Centers for Medicare & Medicaid Services to do things to [...]