December 3, 2020 | By Holly Cassano, CPC, CRC There are not many positives that are generally born out of a Pandemic, but for the COVID 19 Pandemic, there have been a few and one of them is the creation of the HRSA Uninsured Portal. I call it a provider “Godsend” as it has…
September 24, 2021 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC Sean Weiss, DoctorsManagement Partner and Vice President of Compliance recently sat down with Ronald Chapman II, Esq. LLM of The Chapman Law Group to discuss and break down the Biden-Harris Executive Order and its impact on approximately 100 million American…
September 9, 2021 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT Never in our lifetime have we encountered a more controversial subject than the daily buzz we hear from co-workers, news networks, social media, and the like related to COVID-19. While most of us are not sitting in a front-line environment (anymore), we…
June 18, 2021 | By Bryan Meek, Esq., Brennan, Manna, and Diamond The pandemic has undisputedly changed the way in which Americans live their daily lives, including how they receive medical care. Patients have increasingly been receiving care via telemedicine, virtual check-ins, or e-visits in order to avoid physically going to their appointments and…
May 7, 2021 | By Frank Cohen, Director of Analytics and Busines Intelligence It looks like the feds are moving quickly into recoupment audit mode in regards to telehealth and other services reported during the COVID-19 declared Public Health Emergency (PHE). Starting sometime the end of the first quarter of 2020, HHS came out…
November 20, 2020 | By Brenda Edwards, CPC, CDEO, CPB, CPC-I, CEMC, CRC, CMRS, CMCS COVID-19 has been disrupting the healthcare environment for over a year now. Massive changes and evolutions have been introduced for how to code for services during COVID-19 including virtual visits, lab testing, and vaccinations. This article will cover COVID-19…
November 27, 2020 | By Grant Huang, CPC, CPMA Auditing evaluation and management (E/M) services furnished by resident physicians under the Medicare Primary Exception (PCE) already required a firm grasp of attestation and coding rules – but now COVID-19 throws another wrench into the works. In this audit tip, we will review the rules…
November 13, 2020 | By Bryan Meek, Esq., Brennan, Manna, and Diamond As the COVID-19 pandemic continues to wreak havoc globally, routine COVID-19 testing of employees, patients, and the general population have become more common. However, issues regarding coverage for this testing are starting to emerge. In recent weeks, major payers and insurers have…
October 9, 2020 | Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT, Director of Content, innoviHealth If you are an active coder or auditor, you are likely keenly aware of the abundant changes to healthcare laws, regulations, policies, and guidelines surrounding HIPAA, coding, reimbursement, and especially to the integration and rapid expansion of telemedicine…
August 7, 2020 | By By Rachel Rose, JD, MBA The Health Information Portability and Accountability Act, Pub. L. 104-191 (Aug. 1996) (“HIPAA”) is often times misapplied. Take the COVID-19 pandemic for example. Despite the U.S. Department of Health and Human Services (“HHS”) and the Office for Civil Rights (“OCR”) reiterating the exceptions present…