The GPDC Model is getting a new name and a new purpose. It’s being renamed the ACO REACH Model. It also has a new focus of improving care for Medicare participants through better coordination.
According to the Office for Civil Rights, the most commonly alleged HIPAA complaints include impermissible uses and disclosures of protected health information (PHI), lack of PHI safeguards, lack of patient access to PHI, lack of administrative safeguards of electronic PHI, and use or disclosure of more than the minimum necessary PHI.
Facilities can limit their exposure to claim denials and external reviews by implementing a robust internal coding compliance program. This article breaks down components of a coding policy and compliance plan and approaches to monitoring coding quality.
Certain provider services such as acupuncture and cosmetic surgery are not reimbursed by Medicare. This article describes when and how to apply HCPCS modifiers for non-covered services.
Anxiety disorders are the most common mental illness in the U.S., according to the National Institute of Mental Health Statistics. Shelley Safian, PhD, RHIA, CCS-P, COC, CIC, breaks down ICD-10-CM coding for common types of anxiety disorders and psychotherapy treatments used to manage them.
