Regulatory Compliance
04/02/2071
In response to the COVID-19 pandemic, which was declared a national emergency, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing a new diagnosis code U07.1 (COVID-19) into the ICD-10-CM code set.
10/14/2020
The fourth quarter 2020 Coding Clinic guidance update released Oct. 1 included guidance on the newly implemented codes for pathological fractures.
10/14/2020
Agencies should consider implementing a Clinical Documentation Improvement (CDI) program in order to help paint a more detailed picture of a patient’s medical history.
10/14/2020
The following shows the difference between a non-compliant query which “leads” the provider to a specific diagnosis versus a complaint query which does not “lead” the provider to any one diagnosis and allows for open-ended responses.
10/07/2020
The Department of Health and Human Services (HHS) has decided to base provider relief payments on net operating income rather than reductions in revenue as previously stated, a move that has providers flabbergasted.
10/07/2020
With COVID-19 a focus of so much patient concern, you should take special care to reassure them when one of your clinicians comes down with it.
10/01/2020
Hospices have been preparing for the modifications to the hospice election statement requirements, effective Oct. 1, and finalized in the 2021 hospice payment rule.
10/01/2020
CMS recently updated the HCPCS codes that home health agencies may bill for the cost of in addition to the administration of the medication for certain injectable osteoporosis drugs.
10/01/2020
A new proposed rule from the U.S. Department of Labor (DOL) would make it easier for employers to justify classifying certain workers as independent contractors, but misclassifying workers would still be a costly mistake.
10/01/2020
Patient inducements, whether direct or as part of a rewards program can run afoul of the Civil Monetary Penalty (CMP) law and federal and state anti-kickback statutes (AKS).

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