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Coding
Cigna Denials Cigna Denials
I have a patient with diabetic peripheral neuropathy and foot ulcers. I have been debriding the ulcers every two weeks, and we have billed out CPT 11042. Cigna has denied our latest two claims and the EOB says, “Procedure code is invalid for DOS and global.” There is no global for CPT 11042 and there should not be a procedure code invalid for any DOS with these claims. Any thoughts on what to do next?
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FDA Recalls
Coding
What is a UPIC Audit and How Serious is this Audit?
What is a UPIC Audit and How Serious is this Audit?
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HIPAA
Screen All Employees At Time of Hire AND Every Month
Screen all employees at the time of hiring and every month for the List of Exclude Individuals/Entities. A current employee can end up on the exclusions list at any time so it is important to regularly check to see if they are on the exclusions list.
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FDA Recalls
HIPAA
Why have a Network Diagram?
Even though HIPAA regulations do not require that you have a network diagram, TLD Systems does recommend all our clients use a network diagram. By using a network diagram you will not only be able to identify issues or breaches, but also should you have a breach it is evidence that you are taking the steps to protect your practice and ePHI to the best of your ability. With this evidence you can reduce or even eliminate possible sanctions because of a breach.
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