On January 8, HHS announced a settlement of $337,750 with USR Holdings for a violation of the HIPAA regulations. This is significant due to the nature of the HIPAA Violation. Among the violations by USR Holdings was Deletion of electronic Protected Health Information.
“My documentation for qualified, routine foot care is similar for most patients as little changes in 3 months. But, yes, I do look for changes and make the note reflect such. And I try to make sure notes are not exact copies of previous notes. My notes have plenty of bullet points for an E/M code on each visit. I am primarily charging procedure codes only (CPT 11056, CPT 11721, etc). Can I still bill at least one E/M code per year even when there are no substantive changes as I continually monitor vascular, neurologic and dermal changes each visit? Must I have a new or different diagnosis to bill an E/M code?”