The National Correct Coding Initiative (NCCI) was developed by the Center for Medicare and Medicaid Services (CMS) to promote national correct coding methodologies. The NCCI also aims at controlling improper coding, which leads to inappropriate payments in Medicare Part B claims. The coding policies of the CMS were More..
To maintain business continuity, the healthcare and pharmaceutical industries should comply with the best practice standards and the most current legislation throughout the lifecycle of their product(s). Regulatory inspections aim at conducting an activity to demonstrate that your company is operating in compliance with the More..
The U.S. Food and Drug Administration (FDA) introduced the new food labels on May 20, 2016 to include more details on sugar, Vitamin D and Potassium content. This will also change the way the ingredients are displayed on the label, including changes in the used More..
As podiatry medicine is quite different from other specialties, it is essential for billing professionals to know how to address the complexities in the field. Whether it be coding for a complicated foot surgery or for billing something routine. There is greater emphasis on claim More..
The Department of Health and Human Services (HHS) released the final rule of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), with comment period implementing the Quality Payment Program (QPP), which is a part of MACRA. QPP improves Medicare by putting the focus More..
Ransomware is a form of malicious software (usually known as a malware) that targets critical data and systems to extort payment for restoring the targeted data or system. After locking the user out of their system, the perpetrator or the hacker demands a ransom payment More..
Of late, Hazard analysis and risk-based preventive controls (HARPC) have been discussed a lot. Beginning September, 2016, this method became mandatory to be implemented by a large number of companies. It marked a successful transition by FSMA (Food Safety Modernization Act) from a reactive approach More..
CMS (Centers for Medicare & Medicaid Services) on Friday, October 14, 2016, announced the much awaited Medicare Access and CHIP Reauthorization Act (MACRA) final ruling. This new rule finalizes the new payment system and healthcare quality reforms for all those physicians who seek reimbursements for More..
The latest changes to the Health Insurance Portability and Accountability Act 1996 have raised the issue of texting in HIPAA compliance. The easy answer is that under certain circumstances text messaging is HIPAA compliant, given that “administrative, physical and technical safeguards [exist] to ensure the More..
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule, appropriate safeguards are required to protect the privacy of Personal Health Information (PHI). The Rule sets conditions and limits on the uses and disclosures that might be made of such information without the More..