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News
HIPAA
Proposed Changes to the HIPAA Security Rule
The U.S. Department of Health and Human Services (HHS) has proposed significant updates to the Health Insurance Portability and Accountability Act (HIPAA) Security Rule to enhance the protection of electronic protected health information (ePHI) amid rising cyber threats.
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Coding
Using L3000kx
“So, to be clear you can never use L3000kx for a diabetic with neuropathy and diabetic ulcers even if secondary will pay.”
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FDA Recalls
Coding
Neuroma Injection Reimbursement
“Medicare pays approximately $40 more for E/M code 99213 versus an injection for a neuroma. Can you give the injection and only bill the E/M 99213?”
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Practice Management
Lowering Rejection Rates
Keeping rejection rates as low as possible is important (5% or less; I used to say 3%, but payers often reject for no reason banking on the fact that you are too busy to follow up)
The #1 reason for rejection continues to be SIMPLE HUMAN ERROR so train your staff to be diligent in their attention to detail.
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Coding
Denial of CPT 11730
“I am wondering if any other podiatry practices are having issues with Aetna Medicare getting paid for CPT 11730? The denial of the claims focusses on “LCD guidelines.” We are sending numerous appeals along with medical documentation and the actual article from Medicare (L34887).”
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