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Coding
Coding Pearls - Bundled Services Routine Foot Care
For the “At Risk,” Routine Foot Care patient, can a mycotic toenail be debrided, and a corn/callus be trimmed on the same toe?
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HIPAA
HHS Office for Civil Rights Settles HIPAA Ransomware Cybersecurity Investigation with Comstar
Settlement Marks OCR’s 13th Ransomware Enforcement Action and 9th Enforcement Action in OCR’s Risk Analysis Initiative
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FDA Recalls
MIPS
MEX5: Hammer Toe Outcome
Description:
For MEX 5, the patient must be seen at least twice: once at the time of diagnosis to document the pain scale, and a second time to assess any decrease in pain. In order to document the patient’s pain, you must use the standardized pain scale 1-10. This measure tracks pain levels from the first visit to the last. No specific treatment is required—any intervention that effectively reduces the patient's pain is acceptable, the hammer toe diagnosis must be a part of the claim. Treatments may include surgery, changes in shoe gear, padding, and debride corns.
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Coding
Coding Pearls - Post Operative Infection
“I have a patient who had a bunionectomy. The patient was diagnosed with a post operative infection within the global period which required evaluation and management. I billed for an office visit, but Medicare will not pay. What am I doing wrong? I used 24 as a modifier.”
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HIPAA
Recognizing Common HIPAA Violations and How to Prevent Them
In 2024, the most common HIPAA compliance issue, according to the Office for Civil Rights (OCR), remains the impermissible use and disclosure of protected health information (PHI).
When violations are identified, the OCR frequently refers cases to the Department of Justice (DOJ) for further action. As of 2024, 2,419 referrals have been made to the DOJ for criminal investigation.
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