From a compliance exposure perspective, we believe that the HIPAA risk associated with sending PHI abroad is simply untenable. HIPAA is an American law that does not extend beyond our borders. The only way to ensure HIPAA protection abroad is to do so contractually via a BAA. There is no regulatory authority abroad for the [...]
OIG reviewed 191,118 Medicare paid distant-site telehealth claims, totaling $13.8 million, that did not have corresponding originating-site claims. The watchdog agency then reviewed provider supporting documentation to determine whether the services met Medicare’s requirements for reimbursement. 31% of the telehealth claims did not. Specifically: 24% were unallowable because the beneficiaries received services at nonrural originating [...]
Staying profitable in the wake of Medicare reimbursement cuts is an ongoing struggle. During Fiscal Year (FY) 2017, OIG’s report reveals recoveries of more than $4.13 billion in health care fraud judgments and settlements. The report also mentions exclusions of 3,244 individuals and entities from participation in Federal health care programs; which means you need to be extra careful to [...]
In this article by AACP author Michael Stearns, MD, CPC, CFPC, suggests that organizations should take the time to thoroughly understand and customize your EHR. Most electronic health record (EHR) systems include software to help providers determine the appropriate evaluation and management (E/M) CPT® codes for patient encounters. Used correctly, these tools do support accurate coding based [...]
