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HIPAA
Business Associate Agreement: What does it do for you?
Business Associate Agreements are necessary contracts between healthcare providers and Business Associates. Required by HIPAA, the BAA provides protections for your office and the PHI that your office shares with Business Associates.
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Coding
Removing Hardware In Clinic
“I have an unusual situation that I am trying to figure out how to code. I had a patient return to the office in the global period after I preformed a 1st metatarsophalangeal joint (MTPJ) arthrodesis. Although, the alignment of the fusion looks good, one of the non-locking screws advanced out of the bone and plate and started to tent the skin at the incision site at three weeks post operative. She is neuropathic and denied any trauma to the area. I removed the screw in the office with local anesthesia. Can I bill for unplanned screw removal in the office?”
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MIPS
Measure 317: Preventive Care and Screening - Screening for High Blood Pressure and Follow-Up Documentation
Measure 317 is to have the office screen for high blood pressure. If the blood pressure is considered to be high, there must be a follow-up and documentation of the follow-up.
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FDA Recalls
Coding
Metatarsal Fractures And MUE
“I have a patient who suffered a Lisfranc injury that resulted in nondisplaced fractures of the 1st, 2nd and 3rd metatarsal bases. There was no disruption of the alignment of the midfoot. We decided that conservative treatment was the most appropriate option for the patient and this injury. She was casted using fiberglass. I am planning to code this treatment as CPT 28470 Closed treatment of metatarsal fracture; without manipulation, each. I was using the APMA Coding Resource Center and noticed that there is “MUE 2″ for this code. Does this affect how many metatarsal fractures that I can bill for during this treatment?”
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Practice Management
Cross your Arms the OTHER Way
Many individuals (and in my experience, most physicians) fear change in the same way that those of us who grew up in the 70s, 80s and even the early 90s feared horror movies. You know what I’m talking about. When they were filled with terrible (although we didn’t know they were terrible) special effects, unpredictable jump scares and music that you just couldn’t shake. . . “One, two, Freddy’s coming for you” (point made).
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