We at MAG Mutual Healthcare Solutions, Inc. received an early-release copy of the 2010 CPT code changes and have created this handy analysis of the updates. Keep in mind that these changes (other than the new H1N1 (swine) flu vaccine administration code and the revision to the vaccine product code that are effective immediately) do [...]
A recent check of the Connolly Consulting Web site shows that even more targets are listed. Additionally, the states involved have grown to include Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, North Carolina, New Mexico, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia.
The 2010 ICD-9-CM Official Guidelines for Coding and Reporting published by the Centers for Disease Control (CDC) have been released. These guidelines will go into effect on October 1, 2009, to coincide with the implementation date for the 2010 ICD-9-CM updates.
On Monday, August 24, 2009, The Department of Health and Human Services released an interim final rule that adds additional requirements under the security provisions of HIPAA. Under the new regulation, which is set to go into effect on September 23, 2009 and was mandated to be released by Section 13402 of the HITECH Act [...]
Despite all of the recent large Medicare fraud busts and the current administration’s seeming focus on ferreting out large dollar and egregious schemes, unscrupulous individuals are always looking to game the system and take advantage of gaps in the oversight of federal healthcare programs. The recent high profile of electronic medical records (EMR) systems has [...]
Connolly Healthcare, the contractor chosen by CMS to perform Recovery Audit Contractor (RAC) audits for Region C has released a list of 7 CMS-approved audit targets. RAC audits have been a hot and sometimes controversial topic since they were legislatively expanded from a 3-state demonstration RAC Program to a 50-state permanent RAC Program.