Q: I work for a pharmaceutical company. I am aware of the more obvious identifiers, but are patient diagnoses or ICD-10 codes (without any other identifiers such as dates of birth or Social Security numbers) considered PHI? I have heard arguments on both sides.
Providers need to clean up coding for electro-acupuncture devices, according to CMS. Claims submitted with HCPCS code L8679 will be subject to additional scrutiny to ensure they're correct.
The Patient-Driven Payment Model has shaken up skilled nursing facility (SNF) billing and coding. Learn the ins and outs of PDPM and how it will affect your organization.
Education and training are critical components of an effective compliance plan. Training and education serve to set the tone for the compliance program and the ethics of the organization.