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HIPAA
HIPAA is to Protect the Patient
I’d like to share a personal experience that has made me so grateful to have HIPAA. I understand and sympathize with that burden HIPAA places on providers and practices. At TLD Systems we do our best to minimize that burden, educate you about your responsibilities and help you to meet the HIPAA requirements. My experiences reminded me that HIPAA is about protecting patents, and at some point we are all patients.
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FDA Recalls
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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