NCCI Edit Coding Policy Manual

Updates for NCCI Edit Coding Policy Manual for 2017

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..

Pharmaceutical Regulatory Inspections

Get Prepared for Regulatory Inspections!

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..

Foot Care Coding and Billing Challenges

Podiatry Billing and Coding

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..

`Medicare Quality Payment Program

The Quality Payment Program Decoded!

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..

Text Messaging and HIPAA Compliance

Text Messaging and HIPAA Compliance

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..

HIPAA Cyber Security

Cyber Security and HIPAA Privacy Rule

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..