The Year of the Audit: Stand Your Ground with Payers
January 22, 2021 | By Sean M. Weiss, CHC, CMCO, CEMA, CPMA, CPC-P, CMPE, CPC Welcome to 2021, “y’all” – as we say down yonder in the beautiful South!…
Changes to Stark May Require Tweaks to the Physician Compensation Formula
January 8, 2021 | By David Glaser In early December, the Centers for Medicare and Medicaid Services (CMS) issued new rules that dramatically revise the Physician Self-Referral Law, commonly…
Finally: CMS releases 2021 final rule; no major surprises seen
December 15, 2020 | By By Grant Huang, CPC, CPMA At long last, CMS has published its Medicare Physician Fee Schedule (PFS) final rule, and while some of the…
OIG HHS Audits Resuming
August 21, 2020 | By Jesse Overbay, JD On March 13, 2020, the President of the United States issued an emergency declaration under the Stafford Act to declare a…
Compliance Tidbit: How Covered Providers May Contact Patients with COVID About Population-Based Activities
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…
Public Health Emergency Set to Expire July 25, 2020
July 23, 2020 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC As you all know the Public Health Emergency (PHE) is due to expire on Saturday…
Coding and Compliance Audits During COVID-19
May 15, 2020 | By Stephanie Allard, CPC, CEMA, RHIT Over the past month, I have heard comments wondering why we would continue to audit during the COVID-19 public…
The Week-In-Review
April 3, 2020 | By Sean Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC Happy Friday – we made it through another week of change, after change, after change.…
Biometrics – the New Battleground in Privacy and Security
March 23, 2020 | By Rachel Rose, JD, MBA According to the National Institute for Standards and Technology (“NIST”), biometrics is defined as, “[a]utomated recognition of individuals based on their…
Implementing Telehealth Visits
March 20, 2020 | By Shannon DeConda, CPC, CPC-1, CPMA, CEMC, CMSCS Step 1: Telehealth Consent In order to conduct a patient encounter as a telehealth service, the patient…