03/05/18 | Total knee arthroplasty (27447) removed from Inpatient only list – causing confusion
 

You may have been experiencing feedback from a facility when trying to schedule your total knee replacements as inpatients. 

Total knee arthroplasty (27447) removed from Inpatient only list – causing confusion
 
07/10/17 | New Category III codes effective Jan 1st, 2018
 

You will want to update your bone marrow aspiration coding for 2018 as well as some adipose-derived cell therapy for hands

New Category III codes effective Jan 1st, 2018
 
07/10/17 | Spinal surgery
 

If you do any spinal surgery you want to be aware of the Medicare changes that are taking place regarding number of levels, number of cages as well as diagnosis issues.

Spinal surgery
 
06/10/16 | CMS starting to list ICD-10s not covered
  Unspecified ICD-10 codes be careful
CMS starting to list ICD-10s not covered
 
07/09/15 | Total joint issues from CMS
  Total joint issues from CMS
Total joint issues from CMS
 
12/31/14 | Holding claims and fee schedule issues for 2015
  Medicare wants claims held starting Jan 1, 2015
Holding claims and fee schedule issues for 2015
 
08/20/14 | Medicare finally catching on that modifier 59 is not enough
 
Medicare finally catching on that modifier 59 is not enough
 
07/22/14 | Keep an eye on your private payer contracts..
 
Keep an eye on your private payer contracts..
 
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Act by Friday to secure one-year HIPAA mega-rule extension for business associates

You’ll need to draft and sign a business associate agreement by Friday, Jan. 25, if you don’t already have one in place, to get an extra year to comply with new business associate regulations in the recently released HIPAA mega-rule.
The rule expanded the definition of “business associate” to include vendors, contractors and subcontractors for covered entities, including physician practices and home health agencies. That means vendors for electronic health records (EHR) systems and even janitorial services are required to abide by HIPAA and it’s the providers’ responsibility to make sure they do by Sept. 23.
But a little-noticed provision gives providers an additional year from the rule’s Sept. 23, 2013 compliance date to comply with the new business associate requirements if they submit an agreement by Jan. 25. Those agreements will be grandfathered in, barring any modification or renewal of the agreement before the grace period runs out Sept. 23, 2014.
If you don’t submit a HIPAA-compliant agreement by Jan. 25, you’ll be forced to comply with the new standards by Sept. 23, 2013.
The extension enables you to focus on compliance with other provisions of the final rule, such as updating policies to reflect changes to the notice of privacy practices and breach notifications.
What you should do now
First, determine whether you have business agreements in place and then run them by your health care attorney to make sure they’re compliant with HIPAA, advises Robert Tennant, senior policy advisor for the Medical Group Management Association (MGMA) in Washington, D.C. If you don’t have an agreement, draw one up based on HHS’ Office of Civil Rights’ (OCR) checklist, have it signed and dated by all parties by Friday.
For more information on the HIPAA mega rule and how its changes will affect you, visit DecisionHealth’s publication sites for Part B News, Home Health Line and Private Duty Insider.
Don’t put yourself at risk of costly HIPAA violations. Register today for HIPAA “mega-rule” made simple and get a complete analysis of the new rule with attorney Robert Markette
http://www.decisionhealth.com/conferences/a2354/home.html