News & Analysis

September 1, 2013
Briefings on APCs

Our experts answer questions about billing vasectomy and sperm analysis, coding for ED visit when the patient is admitted for surgery, billing glucose reading before a PET scan, documentation required for the functional limitation codes, and appropriate reporting of observation.

September 1, 2013
Briefings on APCs

E/M coding and reimbursement for hospital outpatients could change dramatically if CMS finalizes its proposal to replace current E/M CPT® codes with three G-codes.

September 1, 2013
Strategies for Healthcare Compliance

Sanctions are one side of the HIPAA coin. However, have you ever considered awarding commendations to workforce members who take steps to protect PHI?

September 1, 2013
Strategies for Healthcare Compliance

Quality of care is a top priority for HHS, CMS, OIG, and DOJ. It also has always been an issue for state surveyors, state attorneys general, and Medicaid Fraud Control Units as they examine skilled nursing facilities. In fact, quality of care is now part of the OIG's annual Work Plan.

September 1, 2013
Briefings on APCs

Get ready for more packaged services, including laboratory tests and add-on codes, if CMS finalizes changes proposed in the 2014 OPPS proposed rule.

September 1, 2013
Strategies for Healthcare Compliance

Who would have thought that buying gas with a credit card or wearing a pacemaker could leave a person's information exposed? Yet highly sophisticated credit card skimming devices at gas stations are stealing from consumers, and healthcare organizations are concerned about the potential for malicious tampering or the theft of PHI from wireless medical devices such as pacemakers. Hidden vulnerabilities lie in everyday activities like these, and some of those vulnerabilities can expose PHI and put healthcare organizations at risk.

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