CGS's Medical Review staff will be conducting a complex post-pay service-specific medical review of HCPCS Codes L1902; L1906; L1971; L4396; L4397 (Ankle-Foot Orthosis). This review will be conducted because data analysis revealed that Jurisdiction B's allowed dollars for HCPCS Codes L1902; L1906; L1971; L4396; and L4397 were significantly above expected amounts. Additionally, the Orthotics policy group ranked #1 in total CERT errors.
When we discuss HIPAA most of the articles have been on security and breaches, but HIPAA goes well beyond privacy and Security. One aspect of the HIPAA rule is the “Right of Access”.
OCR (The Office for Civil Rights – the branch of HHS the enforces HIPAA) is enforcing this law even more strongly since the 21 Century Cures Act was published. OCR has begun to levy fines against organizations that are in violation of the “Right of Access” rule.
“Can CPT code 29580 (strapping – Unna’s boot) be used for ICD code M65.871(2) in lieu of CPT code 29540? If not, what is the best ICD 10 code for CPT 29580?”
Medicare has released updated articles to reflect the annual ICD-10 update. These updates are effective on October 1 and change the coding and documentation requirement for many services we provide.
The U.S. Department of the Treasury’s Office of Foreign Assets Control (OFAC) has released an Advisory on Potential Sanctions Risks for Facilitating Ransomware Payments. Financial institutions, cyber insurance firms, and companies that facilitate payments on behalf of victims may be violating OFAC regulations.