Noridian, the Jurisdiction F Medicare Administrative Contractor (MAC), recently announced that they will be extending their pilot program: Provider Self-Audit with Validation and Extrapolation (PSAVE). Whenever a program is extended, that means that it has been successful for the payer, which likely means that they are saving money. It doesn’t state precisely HOW they are saving money. Historically, when a pilot program is proven to be successful, it isn’t too long before other MACs follow. Before signing up to participate, providers need to carefully evaluate the program.
For some time, the ChiroCode Institute, InstaCode Institute and their consultants have warned subscribers that when it comes to HIPAA compliance, it’s not just the names and addresses that matter—it’s the compliance.
September 23rd, 2013 was the deadline for HIPAA Omnibus Final Rule compliance. It seems to have just snuck up on everybody. We have spoken with some clincis who say that they don't need to worry about it because ”they are just a small practice.” Please, do not wait any longer to get compliant!
PQRS participation is important for healthcare providers. Several types of payment adjustments may be applied depending on how well providers meet PQRS criteria. To avoid negative payment adjustments or even gain postitive payment adjustments (Value Based Modifier) by CMS, healthcare providers need to successfully participate in the CMS Physician Quality Reporting System (PQRS).
For detailed information about this program, please refer to Chapter 2.5 of the Behavioral Health DeskBook.
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.