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A recent HIPAA breach that involved transmission of protected health information (PHI) to only one party — a reporter — nonetheless cost a Connecticut practice $125,000, in part because the practice didn’t take simple precautions, which you should be taking right now.
Take cues from the revised Correct Coding Initiative policy manual released in mid-November to polish your coding and billing efforts in 2019 and avoid common infractions tied to modifier 50, repair and tissue transfer procedures, lab testing and other areas.
Spine surgery coders will want to pay close attention to the 2019 updates to Medicare’s National Correct Coding Initiative (CCI) policy manual. You’ll find important changes to Medicare’s coding rules for multi-level fusions and fusions performed with a decompression.
Hold a tabletop exercise to gain a greater awareness of HIPAA security and to know how your practice should respond to a ransomware attack.
In past five years, providers have vastly improved their denial rates on codes with modifier 50 (Bilateral procedure), Medicare data show.


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