I frequently encounter complaints by healthcare providers that when they are undergoing Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), and, more recently, the Targeted Probe-and-Educate (TPE) audits, the auditors are getting it wrong. That’s as in, during a RAC audit, the auditor finds claims noncompliant, for example...

CMS posted changes to the ICD-10-CM codes for fiscal year 2020.

Five key points: 1. There were 71,932 ICD-10-CM codes for fiscal year 2019. The update includes 72,184 codes. 2. CMS added 273 codes, deleted 21 codes and made 30 revisions to codes pertaining to various treatments...

A recent study found that 25% of healthcare organizations don’t encrypt their patient’s data in the cloud. Sharing data is a crucial aspect in the doctor-patient relationship and keeping that information secure and away from prying eyes is not just good for business but, required by HIPAA...

Nearly eight billion smartphone users on earth and one billion in North America alone are increasing the focus of technologists and businesses towards this high-tech mobility. Smart device applications are developed for nearly all industries that empower you to...

The Patient Driven Payment Model is bringing new importance to the ICD-10-CM code set for SNFs. Here’s where the diagnosis codes will come into play.

The purpose of D5994: Perio Protect is a prescribed medical device used to treat patients who suffer from periodontal disease. The device is lab-created and used as a “tray” to deliver peroxide into a patient’s periodontal pockets. There are many variables involved when it comes to dental insurance coverage and reimbursement.