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Watch out for a hidden hazard lurking behind Medicare’s new split/shared rule. Experts say it could lead to lower compensation for practices, and medical societies warn the new rule will also disrupt patient care.
Brain illness and injury, with a focus on dementia-related diagnoses, occupy a high volume of the 1,495 proposed changes to the ICD-10-CM code set announced April 18.
Warn your physicians: Auditors and investigators will not be forgiving if they discover that your practice profited from incident-to billing errors.
In January, the Office for Civil Rights (OCR) released its latest round-up of HIPAA “enforcement highlights,” and the years’ worth of data reveals weak spots for medical practices, covered entities (CE) and business associates (BA). Be mindful of how you disclose and safeguard protected health information (PHI) to avoid a breach.
Providers issued fewer advance beneficiary notices of non-coverage (ABN) during the first year of the COVID-19 public health emergency (PHE) than they had in previous years, even as two ABN modifiers grew in popularity.


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