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Make sanction policy, hit other marks to avoid big fines for small HIPAA breaches

12/10/2018

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.

CCI policy manual targets biopsy codes, lesion repair, bilateral services

12/10/2018

by: Richard Scott

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.

Make note of separate incisions when coding multi-level spinal fusion

12/10/2018

by: Laura Evans, CPC

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.

Prepare for ransomware attacks: Conduct a ‘tabletop’ exercise

12/10/2018

by: Marla Durben Hirsch

Hold a tabletop exercise to gain a greater awareness of HIPAA security and to know how your practice should respond to a ransomware attack.

Denials improve for claims with modifier 50

12/10/2018

by: Roy Edroso

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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