By now, everyone is aware of the UHC breach and its massive impact on most healthcare providers. The resolution of this problem has proceeded at a snail’s pace. Some, but not most, systems are back in operation, but specific clearinghouses, payers, and EMRs remain...
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WHAT HAPPENED? Most are aware of the massive cyberattack on United Healthcare (UHC) revealed over the past few weeks. The breach has been traced to an employee download that allowed cybercriminals access to huge amounts of the database. The impact of this breach is...
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Routine medical record audits serve three important functions: They provide a check-up on documentation and billing patterns. Problematic compliance can be identified and corrected through training before a real audit happens and a large refund is demanded. They can...
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Not many providers understand MIPS and few ODs chose to participate in MIPS, but we do get questions about it frequently. If you are wondering how it applies to you, this article should help. Does MIPS apply to you? MIPS does apply to optometrist who bill Medicare and...
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We get questions fairly regularly about PCI compliance and what it means for the practice. In this article we will give a brief overview of what it means for the practice. What is PCI Compliance? PCI compliance, or payment card industry compliance, refers to a set of...
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Unfortunately, too much of the billing and coding education in healthcare focuses on gaming the system to get the most out of insurers. This has led significant fraud waste and abuse in healthcare. In fact, the Department of Justice estimates it may be as much as $100...
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