Wednesday, June 12, 2013

Another free CEU opportunity: Inside Criminal Minds

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
Wolters Kluwer


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 : )

Dear Colleagues:
2013 has already ushered in innumerable coding and reimbursement changes. Frequent changes in coding practice and policy, and complexity and uncertainty in day-to-day coding work can often leave you stressed, forcing you to give up your deserved reimbursement!
If you are still struggling with 2013 CPT changes, inappropriate modifier use, quarterly CCI Edits, LCD/NCD compliance issues, it’s time to set things right and take charge of your practice!

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.
During this complimentary tip-packed session, Kristie will teach you how to:
Overcome Payment-Threatening 2013 Code, CCI, and Modifier Challenges

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
And Much More!
Webinar attendees can earn 1.0 CEU from AAPC!
Register Now for this live webinar and learn everything you need to know to topple 2013’s toughest coding and compliance challenges!
Jen Godreau, CPC, CPMA, CPEDC
Director of Development and Operations ! The Coding Institute, LLC

Monday, June 10, 2013

Medicare clarifies signature requirements

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  : )


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