OIG tags California medical group for erroneous billing

Published: Wed, 09/11/19

Santa Monica, Calif.-based Oceanside Medical Group failed to comply with Medicare requirements when billing for psychotherapy services, according to a report from HHS' Office of Inspector General. The OIG said none of the 100 sampled beneficiary days, consisting of 103 psychotherapy services, complied with Medicare requirements. In the...

Bringing Coding Compliance into the Digital Age Prevents Denials

Healthcare technology is credited with advancing clinical care, allowing providers to detect cancer by scanning radiology reports, improve\ chronic disease management standards, and enhance patient safety. But hospitals have yet to bring the same types of...

ICD-10-CM changes take effect Oct. 1. What you should know

Pediatrics will see some important changes to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) that will take effect on Oct. 1. These include updates to both the tabular and the code set.

Blockchain Can be A Promising Tool in Health care

The revolution in Blockchain technology has made its way to the healthcare industry and is already showing promising results in the technical advancements in health care. Healthcare Rallies For Blockchain, a study from IBM, found that 16% of surveyed healthcare executives have solid plans to implement a commercial blockchain...

CMS Rolls Out New Powers to Target Healthcare Fraud

Federal healthcare oversight authorities have announced that they are expanding their “revocation and denial authorities” in an effort to enhance their efforts to fight waste, fraud, and abuse in the American healthcare system – marking a move all but guaranteed to trouble providers already concerned over...

Understanding Why 99201 Will be Deleted

As you may be aware, the proposed Medicare Physician Fee Schedule (MPFS) rule for 2020 was officially published on Aug. 14, 2019. There are many components to the rule, including a proposed change in the PFS conversion factor to $36.09, the addition of several new HCPCS codes for...

How to rev up practice productivity

A recent AMA study found that in 2018, for the first time, employed doctors outnumbered those that owned, or had an ownership stake in, a practice. For independent practices, this milestone highlights the importance of operating as efficiently as possible. That’s because financial difficulties are among the...

Poor Healthcare IT Infrastructure Contributes to IHS Care Problems

Poor healthcare IT infrastructure has contributed to patient care problems at Indian Health Service (IHS) hospitals, concluded a recent report by the HHS Office of Inspector General (OIG). The report found that the IHS had insufficient healthcare IT infrastructure to maintain quality assurance and monitoring at its hospitals.