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CR7631: changes to place of service coding effective April 1, 2013
- Dinsmore & Shohl LLP
- -
- USA
- -
- February 7 2013
After the OIG identified a high error rate for Place of Service ("POS") modifiers over several years, the Centers for Medicare and Medicaid ("CMS"
CGS changes coding requirements and clarifies modifier-25
- Dinsmore & Shohl LLP
- -
- USA
- -
- July 3 2012
On May 10, 2012, CGS Administrators, LLC, the Medicare Administrative Contractor for Medicare Parts A and B in Ohio and Kentucky, announced that providers must perform and document all three elements of an Evaluation and Management (E&M) service in order to bill for any code higher than CPT 99211, the lowest subsequent office visit
Healthcare providers: when in doubt, self-report!
- Dinsmore & Shohl LLP
- -
- USA
- -
- December 7 2011
Did you know that failing to report and return discovered overpayments to Medicare or Medicaid within 60 days can lead to False Claims Act liability and potentially $11,000 in penalties for claims left unreported or unreturned?
2010 compliance review -- what did I miss?
- Dinsmore & Shohl LLP
- -
- USA
- -
- January 28 2011
The rules have been modified that "creditor" no longer includes any business that extends credit or permits payment plans for fees incident to its services
Billing and denial patterns for top services: 20012008
- Dinsmore & Shohl LLP
- -
- USA
- -
- July 1 2010
Several top-billed codes have seen a denials increase from 2001-2008, and health care providers should consider reviewing and updating their billing and coding criteria and related templates in order to avoid denials based on billing or coding errors
New case provides useful reminder: Ohio law is sometimes more strict than HIPAA
- Dinsmore & Shohl LLP
- -
- USA
- -
- July 1 2010
To the unsuspecting Ohio health care provider that is asked to disclose patient medical records, it may come as a surprise to learn that Ohio's physician-patient privilege is at times more restrictive than the Health Insurance Portability and Accountability Act (HIPAA
New interim rule creates higher penalties for HIPAA violations
- Dinsmore & Shohl LLP
- -
- USA
- -
- November 16 2009
On October 30th, HHS published its new HIPAA rules that increase penalties for HIPAA and HITECH violations
2010 Physician Fee Schedule - sweeping changes
- Dinsmore & Shohl LLP
- -
- USA
- -
- November 16 2009
The new Fee Schedule finalizes many of the sweeping changes contained in the proposed Fee Schedule
Current ODH reporting requirements for H1N1
- Dinsmore & Shohl LLP
- -
- USA
- -
- November 16 2009
According to Columbus Public Health and the Franklin County Board of Health, providers are no longer required to report a single confirmed case of H1N1
Red Flags Rule delayed again, now effective June 1, 2010
- Dinsmore & Shohl LLP
- -
- USA
- -
- November 16 2009
The Federal Trade Commission ("FTC") has again delayed enforcement of the Red Flags Rule, this time at the request of members of Congress
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- Firm Name - Dinsmore & Shohl LLP
- Workarea - Healthcare
- Author - Stacey A. Borowicz
- Jurisdiction - USA
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