Historically, coverage of behavioral health services were very limited. If you were fortunate enough to have coverage for these types of services, they were generally paid at a lower rate than other medical benfits in your plan. Over the last decade, this disparity in coverage has changed - driven by legislative efforts. This began at the state level and over the last couple of years it has also expanded to the federal as well.
The Health Insurance Portability and Accountability Act (HIPAA) has been around for quite some time. There are many misconceptions about HIPAA compliance that our office still gets calls about. This page is to help clear up some of these misconceptions.Read More
Compliance specialists are responsible for monitoring health and human services program operations for compliance with federal and state regulations and standards in order to promote health and safety, assure that public services are delivered properly, or prevent fraud. Areas assessed may include service delivery, eligibility determination and payment, medical reimbursement, risk and safety, or operational practices. Responsibilities range from entry level professional to management.Read More
The CMS Physician Quality Reporting System (PQRS) Program: "What Medicare Eligible Professionals Need to Know in 2014” Web-Based Training Course — ReleasedRead More
The new ICD-10 interim final rule has been released by the Department of Health and Human Services (HHS). It requires the use ICD-10 beginning October 1, 2015. You will continue to use ICD-9 CM through September 30, 2015. Claims will not be accepted with ICD-10 prior to this date.
Be prepared! Create your implementation plan so your Go-Live date will be as stress free as possible; keep your cash flowing by doing your part. ICD-10 actually has the potential to increase your overall reimbursement if done properly and you are organized.Read More