Wednesday, June 12, 2013
Hi my blogger friends... Here is another free CEU opportunity. Wolters Kluwer is presenting a 1 hr event regarding fraud and abuse. GREAT STUFF! This is a terrific time for you to take advantage of some good info and get your CEU's too. L : )
Allan P. DeKaye, MBA, FHFMA
President and CEO DEKAYE Consulting, Inc.
Lynne Rinehimer, JD
Sr. Manager Compliance Services
Fraud! Settlements! Restitution! Jail time! All headlines ripped from industry trade journals and newsletters. The unsettling fact is that these same headlines have appeared with regularity over the last 20 years, or at least since Health Care Fraud has become a target of investigation at the federal, state, and local levels.
Inside Criminal Minds is a presentation that will take a closer look at those who have committed fraud, and will examine the characteristics that may have led to this criminal behavior. It will also look to define varying degrees of greedy behavior, including organized greed, as well as behavioral traits common to the criminal mind.
Inside Criminal Minds also reexamines the way many compliance structures work to detect and prevent fraudulent activities, and evaluates if they provide sufficient safeguards. The presentation will look at more sophisticated data models used to guard against identify theft and record data breaches. Finally, we will look at the way organizations screen new hires and reevaluate existing staff to see if lapses or loopholes exist that threaten to exploit vulnerable areas.
Identify characteristics common to criminal behavior
Introduce the concept of the “Hierarchy of Greed”
Evaluate effectiveness of existing system safeguards
Learn about alternative data security measures
Consider changes to hiring and retention protocols
This live webinar requires nothing more than an Internet connection. Register today for this FREE webinar!
Wednesday, June 19, 2013
1:00-2:30 p.m. EDT
12:00-1:30 p.m. CDT
11:00-12:30 p.m. MDT
10:00-11:30 a.m. PDT
This program has been approved by, or is pending approval from, the Health Care Compliance Association (HCCA).
Space is limited!
This popular topic is open to the first 1,000 approved registrants and is expected to fill up quickly. Don’t delay! Registration requires a complete Name, Title, Organization, and a valid business Email Address.
Tuesday, June 11, 2013
Free Webinar with 1 CEU: Thursday 06/13/2013 2013’s Toughest Coding & Compliance Challenges Made Easy
** This is a free webinar that is being presented by SuperCoder, that is worth 1.0 CEU. I know we're all looking to get good education, and free is good! If you are interested be sure to sign up. L : )
Join expert speaker Kristie Stokes, CPC for an action-packed webinar on June 13, at 12 PM EST. You’ll learn to simplify your work, code correctly, garner complete pay, and ensure compliance with a complete coding solution on SuperCoder – Physician Coder.
Navigate Intricacies of 2013 CPT® Updates
Overcome Your Toughest CPT Coding Scenarios with Physician Coder
Pick the Right Code to Ensure Substantial Ethical Reimbursement for Your Practice
Find Out If a Code Has Been Deleted on SuperCoder
Demystify Invalid Message on 95015 Billing
Research Any Questions Related to Your Modifier Confusions
Check Whether 69210-50 a Valid Entry
Reduce CPT-ICD-9 Code Mismatches in 2013
Adhere to Quarterly CCI Changes in 2013
Ensure LCD/NCD Compliance
Monday, June 10, 2013
As of May 17, 2013 - Medicare has clarified and updated the usage of rubber stamps for signature on medical documentation, as noted a transmittal from CMS (see links below) The big “take-away” from this is that legible signatures need to be in place prior to billing services to Medicare. To ensure compliance with Medicare, I would encourage providers to sign all orders and documentation in a timely manner. Reimbursement is a critical factor for many practices, and this is an "easy" area to work on in your practice. Be sure to audit and review your documentation for compliance. Happy Coding! L : )
GENERAL SIGNATURE REQUIREMENTS
http://www.cms.gov/transmittals/downloads/R327PI.pdf http://www.cms.gov/MLNMattersArticles/downloads/MM6698.pdf http://www.cms.gov/ContractorLearningResources/downloads/JA6698.pdf
The general signature requirements state that services that are provided to Medicare Beneficiaries need to be authenticated by the author, for medical review.
If signatures are illegible or missing from medical documentation (other than orders), a signature log or attestation can be used to provide additional information to the reviewer. However, orders without a signature will be disregarded during the claim review.
Signatures cannot be “captured” after the fact through signature logs or attestation. Refer to the transmittal for detailed information on the signature log and attestation process.
NOTE: The transmittal states: “If AC, MAC or CERT reviewers identify a pattern of missing/illegible signatures it shall be referred to the appropriate PSC/ZPIC for further development.”
NOTE: Stamp signatures are not acceptable Per Transmittal 465, stamped signatures are acceptable only if the author has a physical disability and can provide proof to a CMS contractor of his/her inability to sign their signature due to their disability. The rubber stamp certifies that the provider has reviewed the document.
NOTE: Any notation of “signature on file” also does not meet the signature requirements