The innumerable horror stories related to payer audits have given rise to a new trend of undercoding, by intent! Many providers would rather be safe than sorry, all in the name of keeping their good names off the radar. However, undercoding can backfire, resulting in...
The 21st Century Cures Act ("Cures Act") was approved by Congress in 2016 with the intent to provide electronic access, exchange, and use of health information across all different types of health care entities. On May 1, 2020, the Cures Act's final rule became...
On the day that President Biden was sworn into office, the public health emergency (PHE) was set to expire, but the Department of Health & Human Services extended the emergency declaration for another 90 days, to April 20, 2021. This represents the fourth time...
In a response to the healthcare community’s desire to lessen the administrative burden on HIPAA covered entities, the Office of Civil Rights (OCR) issued a request of information (RFI) in December of 2018. Two years later, after this RFI comment period closed, the OCR...
ELEMENTS may seem like an unusual name for a newsletter but for us, the word is pretty much of a North Star. We use the “7 Elements of Compliance “to guide everything we do. A little history by way of explanation. In the mid 1990’s the CDC, OSHA and other government...
A coding audit can be immensely stressful. Even though many practices do well, there are cases (some of them rather well known) involving fraudulent behavior which result in large recoupments and overpayment extrapolations. How well you’ll do depends at least in...
Uber has created a service called Uber Health. It is a way for them to partner with healthcare organizations to provide reliable, comfortable transportation for patients.