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01/23/2017

Question: We have a nurse practitioner (NP) starting who is not yet credentialed but is shadowing our doctors for both her and them to get comfortable with her and the process of the office. One of our doctors is letting her do procedures while she is in the room with her and the NP is dictating the visit, but we will be billing under the doctor. Is this allowed?

01/23/2017
The National Council of State Boards of Nursing created a social media quiz to help nurses understand the scope of patient privacy and nurses’ obligations when using social and electronic media.
01/23/2017
The U.S. Citizenship and Immigration Services has updated the employment eligibility verification form, known as the I-9 form.
01/23/2017
The international lab company announced Dec. 12 that an unauthorized third party accessed the MyQuest by Care360® patient portal and “obtained protected health information (PHI) of approximately 34,000 individuals” on Nov. 26, 2016.
01/23/2017
The list of Part B services with the most improper payments estimated by CMS for 2016 includes some of your most-billed services, according to data from the Comprehensive Error Rate Testing (CERT) program and other sources and published annually in the Medicare Fee-for-Service Improper Payments Report. Note that failure to establish medical necessity isn’t usually a factor; the mistake is more likely due to a coding error or a shortfall in documentation.
01/16/2017

Review your meaningful use data to make sure you haven’t misplaced reportable data such as patient smoking status, and get ready not only to attest but also to testify should Figliozzi and Company pick you for a meaningful use audit.

01/16/2017

You can offer patients transportation to and from your office for appointments and more items for free or at a discount now that the HHS Office of Inspector General (OIG) has softened some of the harshness of the anti-kickback statute and the civil monetary penalties law in a series of rules and announcements released Dec. 7.

01/16/2017

Don’t sleepwalk through your encounters with patients needing referrals for continuous positive airway pressure (CPAP) treatment — the complex coverage requirements for CPAP might easily be leading to unintended denials.

01/16/2017

Practices gearing up for the first year of the merit-based incentive payment system (MIPS) may want to take part in a CMS study assessing the segment of MIPS that’s brand new to reporting entities — the clinical practice improvement activities (CPIAs) performance category.

01/16/2017

Question: When two surgeons are working a patient, when is modifier 62 (Two surgeons) appropriate and when is modifier 80 (Assistant surgeon) appropriate?

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