by LaMont Leavitt - CEO, ChiroCode Institute, Inc.
February 25 , 2011
- HHS Imposes a $4.3 Million Penalty for HIPAA Privacy Violations
- New HHS Fraud-Prevention Rules Could Cause Barriers to Entry for Providers
- 99412 vs. 99078 Group Counseling
- 2011 ChiroCode DeskBook
ChiroCode Webinar Schedule:
- Tue, Mar 1: Colossus: Billing & Insurance Fraud Departments
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HHS Imposes a $4.3 Million Penalty for HIPAA Privacy Violations
The HHS Office for Civil Rights (OCR) has issued a Notice of Final Determination finding that a covered entity, Cignet Health of Prince George's County, MD (Cignet), violated the Privacy Rule of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HHS has imposed a civil money penalty (CMP) of $4.3 million for the violations, representing the first CMP issued by the Department for violations of the HIPAA Privacy Rule. The CMP is based on the violation categories and increased penalty amounts authorized by Section 13410(d) of the Health Information Technology for Economic and Clinical Health (HITECH) Act.
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New HHS Fraud-Prevention Rules Could Cause Barriers to Entry for Providers
The final rules that HHS issued on Jan. 24 to implement fraud-prevention provisions in the health reform law include some "very scary tools" the department will have that could wind up hurting honest providers, according to a leading health care fraud attorney. She doesn't question the intent of the rules, but says they may have unintended effects in creating new and not challengeable barriers to entry at a time when the reform law is encouraging providers to engage in new kinds of transactions and forms of care.
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99412 vs. 99078 Group Counseling
Question: Our office is having a weight management seminar/class for 8-10 patients. Is the code 99412 appropriate? The seminar is 60 minutes long. Or, would 99078 be more appropriate?
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2011 ChiroCode DeskBook
Be aware that the CPT definitions of spinal regions are not consistent with the definitions provided in ICD-9-CM. This may result in problems with payers attempting to link procedure codes directly to the diagnosis codes.
See a chart showing how the code descriptions compare on page F-91 of your 2011 ChiroCode DeskBook.
If you do not yet have your book, Click here to order
Tus Mar 1: Colossus: Your Personal Injury Case Nightmare
Time: 4 pm Eastern, 3 pm Central, 2 pm Mountain, 1 pm Pacific
Presented by Attorney Jeffery C. Metler
Colossus (or similar software) is the software used by insurance companies nationwide to evaluate and place values on personal injury cases. This software helps adjusters set values on treatment and determine settlements for injured victims in a vast majority of cases nationwide. This software also tracks attorneys and doctors in their individual practices.
Part 3: Billing & Insurance Fraud Departments
Click here to learn more and to register.
LaMont Leavitt - CEO
ChiroCode Institute, Inc.