Part B Insider (Multispecialty) Coding Alert
Mark Your Calendar for New HIPAA Regulations
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The Department of Health and Human Services revealed its semiannual regulatory agenda in the June 28 issue of the Federal Register, which covers all rules on deck for review. And according to a release from Phoenix Health Systems, here are the Health Insurance Portability and Accountability Act regulations in your future: Claims Attachments Standard: To help establish medical necessity, this rule proposes an electronic standard for claims attachments for clinical data, in addition to data contained in the claims standard. February and March 2005: Proposed revisions of the HIPAA electronic transactions and code sets standards, as well as proposed replacements for specific code sets. TBA: Outline for enforcing HIPAA compliance through civil monetary penalties.
November 2004: The Standard Unique National Health Plan Identifier proposed rule would implement a standard identifier for health plans that process and pay certain electronic health care transactions.
September 2006: Two years late, this final rule would implement the requirements for certain electronic submissions of Medicare claims as well as the conditions for granting a waiver for these requirements.
Part B Insider (Multispecialty) Coding Alert
- RADIOLOGY:
Interventional Radiologists May Be Punished by Stark Crackdown
SIR 'caught in the middle' between treating docs, radiologists The law of unintended consequences is [...] - SURGERY:
Stereotactic Radiosurgery Must Wait Until 2006 for Freestanding Reimbursement
Doctors trapped by Medicare reimbursement limits Physicians providing stereotactic radiosurgery have run smack into a [...] - WHAT DOCS CAN BILL
Currently, physicians performing stereotactic radiosurgery can bill 99201-99245 for the initial visit, plus 77623 for [...] - RADIOLOGY:
Imaging Crackdown May Require New Legislation
CMS can intervene, but there's a limit to its powers It may require legislation to [...] - EPO POLICY GETS A CHECK-UP
Get the lowdown on proposed changes to monitoring procedures A draft revised policy from the [...] - EVALUATION & MANAGEMENT:
Debunk the 99211 Myth - It's Not Just for Nurses
If a visit warrants CPT 99211 , you can recoup an additional $20 or [...] - Mark Your Calendar for New HIPAA Regulations
The Department of Health and Human Services revealed its semiannual regulatory agenda in the June [...] - INJECTIONS:
3 Tips Add Almost $50 to Your Trigger Point Pay
If you're in doubt whether to reap payments for office visits or extra muscle-injections with [...] - Part B Coding Coach:
3 Easy Steps Lead to 93784-93790 Reimbursement
Why assigning 796.2 is key for Medicare claims You can get paid for the physician's [...] - PHYSICIAN NOTES:
What's on Deck for the Annual Fee Update
One formula can't meet all doctor payment goals Come fall, you can expect Congress and [...]