Blogs

New OIG Self-Disclosure Form Online Follows Updated Protocol

Today, the OIG launched an online submission process for the Self-Disclosure Protocol ("SDP").  The SDP is a mechanism for providers to voluntarily disclose evidence of potential fraud to the OIG and have the opportunity to avoid the costs and disruptions associated with a government-directed investigation and civil or administrative litigation.  This new online form comes just a few months after the OIG issued an updated SDP on April 17, 2013.  In the updated SDP, the OIG reviews the benefits of disclosure:

AHIMA ICD-10 and Computer Assisted Coding Summit – Our Takeaways

We just got back from the AHIMA ICD-10 and Computer Assisted Coding Summit, and wanted to share our experience.
In the sessions, during social time, and while interacting with attendees, we heard deep and intelligent conversations about the readiness assessment process, education approaches, and implementation strategies. We are pleased that the “wait and see” attitude so prominent last year seems to have shifted to “let’s get this done!”

Navigating the Diabetes Self-Management Training (DSMT) Reimbursement Maze (Webinar Replay)

View a replay of the the Navigating the Diabetes Self-Management Training (DSMT) Reimbursement Maze webinar. This replay will give you an overview of Diabetes Self-Management Training (DSMT) Coding and Coverage. Review practices for overcoming reimbursement obstacles faced by pharmacies, solo practices and other providers, along with ways to Improve Profitability of AADE programs.

The Medical Record – Best Evidence in Response to Audits (Webinar Replay)

View a replay of the the Medical Record – Best Evidence in Response to Audits webinar. Third party recovery audits have increased significantly over the past several years putting facility and provider revenue at greater risk. During this audit activity, it is the medical record that is being scrutinized – it can either be a facility’s best defense or its worst.

MEGA HIPAA Can Be An Opportunity!

We all know Compliance Officers are more than busy and redoing HIPAA is not always on the front burner.

But given MEGA HIPAA, we all must revisit and enhance our HIPAA programs. This is a perfect time to consider the basics of your program.

Think about it this way: what trends or situations are happening in your organization that might drive basic changes or expansion of your HIPAA program?

It’s not long, but here is my list:

  • Purchase of Physician Practices

Beyond HIPAA: Developing Your Information Security Program

Trust is essential to realizing the benefits that technology is bringing to the healthcare world. With the confidence that healthcare organizations will handle information about them fairly and responsibly, patients are becoming more interested and adept at participating in their healthcare, including having access to their private health information.

Absorbing the Changes for Behavioral Health

2013 marked a significant year for coding changes for psychiatry and psychology. As with other specialties, the AMA provided a clear division of coding for psychotherapy services as opposed to medical management of patient problems.

CMS has adopted most of the new coding regulations put forth by the AMA yet, many state Medicaid plans have narrowed the scope of coverage within the code series.

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