Healthcare Hotbed for Fraud Cases

Published: Mon, 04/24/17

While it might surprise some folks that five Modesto doctors are among those facing fraud charges in a $40 million medical billing and kickback case based in Southern California, it shouldn’t surprise anyone that there was yet another medical fraud case.

Click Here to Read More

When Practices are Too Cautious about HIPAA

Many providers have the belief that HIPAA should be treated like well-regarded advice from your mom: It's better to be safe than sorry. But that mentality is not always the way to go. Sometimes, practices can be too cautious with HIPAA. There's a difference between ensuring protected health information (PHI) doesn't fall in the wrong hands and preventing patients from.

Click Here to Read More

ICD-10 Diagnosis Codes That Identify Weeks Gestation of Pregnancy

Effective for Dates of Service beginning January 1, 2017, and thereafter, Medicaid required a Weeks Gestation of Pregnancy Diagnosis Code and a birth weight on delivery claims billed on an UB-04 or CMS 1500 Claim Form if a recipient has received any prenatal, delivery or postpartum services.

Click Here to Read More

OB Coding: Delivering Accurate Coding Remains a Challenge

Coders are experts at scanning provider documentation and assigning codes. My approach to chart review is to try to piece together what actually happened during the encounter, and then evaluate whether the documentation supports the coding of the story. This two-part series of articles will address encounters that result

Click Here to Read More

CMS Told To Crack Down On Improper Medicaid Payments

The Centers for Medicare & Medicaid Services needs to step up its involvement in states' Medicaid integrity programs in order to strengthen oversight and identify overpayments, according to a new federal watchdog report.

Click Here to Read More

Registered Health Information Technician

Registered Health Information Administrator

Certified Risk Adjustment Coder Exam Bundle