Are HIPAA Changes Coming?

On December 14, 2018, the Office for Civil Rights (OCR) issued a Request for Information (RFI). They are considering making changes to some of the HIPAA regulations. Earlier this year at the HIMSS (Healthcare Information and Management Systems Society) meeting, Roger Severino, the head of the Office for Civil Rights …

Medicare Reviews

Medicare continues to increase their efforts to review doctors and recover “overpayments”. This increases the likelihood that your notes will be reviewed and that you will be required to pay money back to Medicare. In this webinar Dr. Short will show you:
 Why you should appeal every adverse decision.
 How to appeal adverse decisions.
 What information you need in your documentation for an effective appeal.
 How to structure your appeals to be most effective.

Chiropractic OIG Audit Recommendations – Lessons Learned

The OIG recently concluded an audit on a chiropractic office located in Florida and had some significant findings. They recommended the following:

Refund to the Federal Government the portion of the estimated $169,737 overpayment for claims for chiropractic services that did not comply with Medicare requirements and are within the 4-year …

PSAVE Pilot Program – What Does it Mean to You?

Noridian’s pilot program Provider Self-Audit with Validation and Extrapolation (PSAVE) has been extended which means that it has been successful for the payer, which means that they are saving money. Historically, when a pilot program is proven to be successful, it isn’t too long before other MACs follow. Before signing up to participate, providers need to carefully evaluate the program. Are the benefits worth the costs?

Medicare Reviews

Medicare reviews claims for a variety of reasons. Some are routine and are not a problem for the doctor or the practice. Some are investigatory in nature and indicate a serious potential threat for both the doctor and the practice. Dr. Ron Short will go over the types of reviews and which are routine and which should cause you to lose sleep.

In this webinar you will learn:

-What routine reviews are and why they are conducted
-What reviews are a potential risk
-What triggers reviews
-When to get help and what kind of help to get