by Advize Admin | Mar 23, 2016 | Compliance, Healthcare
The Colorado Regional Health Information Organization (CORHIO) is launching a pilot program to improve patient information exchange between providers and caregivers. This program is designed in a way that once consent is given by patients, their Behavioral Healthcare...
by Advize Admin | Mar 15, 2016 | Coding, Compliance, Medical Record Auditing
On March 10, Advize Health held our fifth monthly webinar on Meaningful Use and Security Risk Analysis. For this webinar, Advize Health’s auditor Melissa Jewett presented with Don Waechter from Compliance and Remediation Services, LLC. Both Melissa and Don are highly...
by Advize Admin | Oct 27, 2015 | Coding, Compliance
Does documentation of more than 50% of time spent counseling or coordinating care suffice for time documentation, and therefore E/M code level selection? Many will answer: YES Let’s take a peek at an often forgotten CMS rule “In general, to bill an E/M code, the...
by Advize Admin | Oct 19, 2015 | Compliance
If a patient is deceased, may a covered entity disclose to a family member who was involved in the patient’s care or payment for healthcare prior to the death, PHI of the deceased? Answer: Yes, unless there is an expressed statement to the contrary. (45CR...
by Advize Admin | Sep 28, 2015 | Compliance, Healthcare
In May 2014, the Department of Health and Human Services, Office of Inspector General (OIG) published a proposed rule updating its regulations. The proposed rule will authorize civil monetary penalties for “failure to report and return a known overpayment,” among...
by Advize Admin | Sep 4, 2015 | Compliance
What are the 3 core health activities where a covered entity could disclose a patient’s PHI? Answer: The core health care activities of “Treatment,” “Payment,” and “Health Care Operations” are defined in the Privacy Rule at 45 CFR...
by Advize Admin | Aug 25, 2015 | Coding, Compliance
Taking the Guesswork out of Correct Billing More and more health organizations are hiring midlevel providers to perform services that were formerly thought to be appropriate exclusively for medical physicians. While it is less costly to hire Physician Assistants,...
by Advize Admin | Aug 24, 2015 | Coding, Compliance, Medical Record Auditing
Vaccine administration coding and documentation is often confused by many providers, billers, coders, and even auditors. One misunderstanding is what exactly is a toxoid component? And what documentation is necessary to support billing vaccine administration with...
by Advize Admin | Aug 19, 2015 | Compliance
Define the principle of “minimum necessary”? Answer: a covered entity must make reasonable efforts to use, disclose and request only the minimum amount of PHI needed to accomplish the intended purpose of it’s...
by Advize Admin | Aug 7, 2015 | Coding, Compliance, Healthcare
This past week, one of our auditors, Robert Blizzard, presented to the Central Florida Physician’s Alliance in Lakeland. There were 7 practices represented at this particular presentation. He was asked “ICD-10 is like trying to eat an elephant in one bite. If you...
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