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News
HIPAA
Disclosure Log Form
Under the HIPAA privacy rule, patients have a Right to an account of Disclosures. This gives patients the right to receive a record of certain disclosure of the protected health information (PHI) made by a covered entity or its business associate.
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Coding
Coding Pearls - Denials For Postoperative X-rays
“Which ICD 10 code should one use for postoperative x-rays after a bunionectomy, a hammertoe repair, or amputation? United Health Care denied payment for post op x-rays. This hasn’t happened before. Thank you.”
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HIPAA
Comprehensive Neurology 25000
A New York City Neurology Practice, Comprehensive Neurology PC has settled an alleged HIPAA violation for $25,000
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FDA Recalls
Coding
Coding Pearls - DMECODING - Modifier Issue?
“I billed A5500 and A5512 with modifiers -KX, -RT, -LT.
L1940 KXRTLT
L2330 KXRTLT
L2820 KXRTLT
I billed these on separate lines. This claim was rejected so we re-billed putting the KX modifier in the 3rd spot and it was still rejected for the same reason. The comment was: 4 – the procedure code is inconsistent with the modifier used or a required modifier is missing Any thoughts on how to tackle this denial?”
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MIPS
Bunion Pain REGCLR3
Description:
REGCLR3 measures the improvement in functions of patients with a diagnosis of Bunion Pain . Improvement is measured as a reduction in pain after an intervention. The patient must be treated, it is up to the medical provider to select the medically appropriate treatment. Treatments may include surgical intervention, shoe wear modifications, orthotics, and physical therapy.
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