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Practice Management
New York’s Updated Mandated Reporter Training: What You Need to Know Before the April 1, 2025 Deadline
New York State is strengthening its approach to child protection with new mandated reporter training requirements. By April 1, 2025, all mandated reporters—including those who have previously completed training—must undergo an updated curriculum that enhances their ability to recognize and respond to child abuse and maltreatment.
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HIPAA
HIPAA is More than Keeping Medical Records Secure
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.
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Coding
Post Operative Wound Care
“I was consulted on a patient in hospital with a large 5th metatarsophalangeal joint ulceration. There was osteomyelitis of the proximal phalanx and metatarsal head. I performed the resection and subsequently performed a delayed closure several days later. The closure left an area open due to soft tissue deficit. This necessitated post operative wound care. I initially billed CPT 28810 and then subsequently CPT 13160. I billed CPT 11042 weekly post operatively, until the wound healed. The private insurance states that all the CPT 11042 billings are considered part of the global. Is there a modifier for submitting related charges for necessary services?”
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FDA Recalls
Coding
Routine Foot Care: Annual E/M Service
“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?”
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FDA Recalls