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FDA Recalls
Coding
Symptomatic Pathologic Nails
Routine Foot Care, which includes trimming or debridement of the asymptomatic dystrophic, mycotic, or normal toenails is covered by Medicare only when the patient has one of the Medicare-specified systemic diseases with a clinically significant peripheral complication placing the patient “at risk” for infection and/or injury if a non-professional attempts to trim or debride the nail. However, when the nail becomes ingrown, and the surrounding soft tissue is complicated by pain or inflammation, then its care is no longer “routine” but involves a pathological state. This state is characterized by one or more of the following: pain, inflammation of the nail bed, inflammation of the surrounding soft tissue, infection and/or abscess.
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Practice Management
York Orthopedic Recovery | Fitness and Athletic Spa
In 2024, after a decade of assisting athletes, industrial workers, and fitness enthusiasts rehabilitate from injuries in a cramped leased space or onsite, Danielle York used an SBA loan to increase the scope of her services, to upscale her square footage, and to expand her impact in Modesto, CA. Danielle used the funds to make the space flow and feel the way she wanted. Large machines such as an infrared sauna and a cryotherapy chamber were purchased to improve patient outcomes. Working capital funded a marketing campaign to spread the word about her new location.
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Coding
Evaluation and Management Services Billing an E/M Service with X-rays
“I know United Healthcare changed the processing of claims for podiatrists this year when an office visit is billed with an x-ray. However, now I am seeing the same issue with Anthem Blue Cross Blue Shield. New patient office visits are even being denied when billed with an x-ray. We have an x-ray unit on site, take our own x-rays, and our podiatrists read the x-rays. Do you have any advice for how to dispute some of these new patient office visits that are being denied as being included in the payment for the Xray?”
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HIPAA
Software Vulnerabilities: Adobe and Google Chrome
Keeping Your Software Up to Date Is a HIPAA Security Requirement
One of the most overlooked aspects of HIPAA compliance is ensuring that the software and programs used throughout your practice are kept up to date. Cybercriminals are constantly searching for vulnerabilities in commonly used applications, and software vendors regularly release security patches to fix these weaknesses. Failing to install these updates can leave your practice exposed to cyberattacks, data breaches, and potential HIPAA violations.
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FDA Recalls