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04/28/2014
Expect more scrutiny of claims when you bill nerve conduction tests (NCTs) and electromyography tests (EMGs) after an HHS Office of Inspector General (OIG) report charges that almost one-quarter of all providers who bill those services do so under questionable circumstances.
 
04/28/2014
A provision buried in the “doc fix” bill may change the way work and practice-expense relative values are set by giving CMS $2 million in annual funding to collect its own work and practice expense data.
 
04/28/2014
If you want to retain your physicians, contracts can do only so much, our experts warn — they should be supplemented with good communication and a willingness to make changes.
 
04/28/2014
OIG reversed its position on a referral arrangement involving physician electronic health record (EHR) data exchange.
04/28/2014
CMS selected a contractor to handle fingerprint background checks and will begin conducting them on a phased-in basis in 2014.
04/28/2014
Almost 60% of 95866 (Needle electromyography; hemidiaphragm) claims were denied in 2012, a jump from just 16.2% in 2011 and 9.5% in 2010.
 
04/18/2014

Plan on following up with more serious compliance efforts if you use HHS’ new HIPAA security risk analysis (SRA) tool, which experts say has serious drawbacks.

04/18/2014

Don’t assume that a patient in intensive care is eligible for a critical care service (99291-99292).

04/18/2014

Critical care services come with complex documentation requirements that have the potential to imperil your payments.

04/18/2014

ICD-10 may be delayed, but meaningful use standards won’t be, say experts — now’s the time to get back on track to avoid an up to 2%  payment penalty in 2015.

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