Even going out of business doesn’t protect an organization from HIPAA requirements. The Office for Civil Rights recently announced it reached a $100,000 settlement with the receiver liquidating the assets of Filefax, Inc., a Northbrook, Illinois, medical records company that shut down during an investigation of HIPAA violations.
Tip of the week
“When reporting CPT codes, modifier -22 should be used only for services that are greater than usual and require increased physician work above and beyond the normal amount. When it comes to a 'normal' procedure, the definition of 'above and beyond' is vague and can be interpreted in a multitude of ways by third-party payers."
Sexual harassment in Hollywood has gotten much attention recently, but it’s far from the only industry where harassment is a problem. A recent analysis of Equal Employment Opportunity Commission data for 1995 through 2016 showed that some 3,800 hospital employees filed sexual harassment complaints.
Q: Our facility has attempted to use the -X{EPSU} modifiers on 2017 and 2018 claims but our Fiscal Intermediary Standard System (FISS) did not process the claims. I reverted to using modifier -59 (distinct procedural service). Do you have any knowledge of when these modifiers might go into use?
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This book is a comprehensive playbook for ensuring the effectiveness of a population health program. This resource is designed to help case management and other healthcare professionals examine social determinants of population health, gauge the sustainability of population health modules in case management, and measure case management outcomes.
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