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Wednesday, July 20, 2016

News

The Cost of Medical Identity Fraud
Source: Briefings on HIPAA
Medical identity theft and fraud is a booming business that puts patients’ lives at risk and costs hospitals and patients millions of dollars each year.
This Week in Medicare Updates–07/20/2016
Source: Medicare Compliance Watch
This week’s updates include a notice of proposed rulemaking for Organ Procurement Organizations and Transplant Centers; July 2016 Medicare Quarterly Provider Compliance Newsletter; and more!
Ransomware Attacks Can't Hide from HIPAA Anymore
Source: HealthLeaders Media
Hospital and health system executives are on notice: Come clean about ransomware attacks as early as possible or be prepared to face sanctions.
JustCoding Online Learning Feedback
HCPro and JustCoding are seeking feedback on your online coding training needs. Please take a moment to answer a short 5-question survey to help us learn what would best serve your needs. Click here to take the survey.
 

Daily Q&A

Q&A: Billing Repeat Laboratory Tests
Source: Medicare Compliance Watch
Q: A patient has multiple laboratory tests on the same date of service. We receive the following NCCI edit: “Code 80048 is a column two code of 80053. These codes cannot be billed together in any circumstances.” Should we only bill code 80053?

Need expert advice?
Email your questions for consideration in the Revenue Cycle Daily Advisor. Note: We do not guarantee that all questions will be answered.

 

Upcoming CMS Events

Wednesday, July 20 - Pre-Claim Review Demonstration for Home Health Services
Tuesday, August 2 - ESRD QIP: Reviewing Your Facility's PY 2017 Performance Data Call
Wednesday, August 10 - PQRS Feedback Reports and the PQRS Informal Review Process for Program Year 2015 Results Call
 

Product Spotlight

Condition Codes 44 and W2 Training Handbook

This handbook helps staff understand when and how to use condition codes W2 and 44, as well as the effects they have on reimbursement and the revenue cycle. This handbook leads readers through the complex decision-making processes regarding the options for rebilling self-denied claims.

 

    

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Free Resources

Medicare Compliance Watch Helpful Links

Compiled by HCPro experts, this helpful links collection is for healthcare professionals researching coding, billing, and compliance questions.