Q: I'm in charge of a coding audit for our department for the first time and trying to determine how many cases to use as a sample. What factors should I consider when choosing the sample?
Q: We are a doctor’s office in a small town. Recently, one of our patients threw away some papers containing PHI in a wastebasket in the waiting room. Another patient’s child later took them out of the wastebasket. The child’s parent brought the papers up to the desk and apologized. Is this a privacy breach? Are we responsible for the papers even though we turned them over to the patient?
Medicare billing edits such as National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUE) must be resolved at their root cause so that they do not continue to occur on claim
This week’s Medicare updates include the April edition of the Medicare Quarterly Provider Compliance Newsletter, a new OIG compliance website providing resources for the public to use to ensure compliance, an updated OIG work plan, and more!
