Four Common HIPAA Violations and How to Avoid Them

With $23 million in fines issued, 2016 was a year of unprecedented amounts of HIPAA violations. It also doesn’t look like the Office of Civil Rights is slowing down on issuing these fines for 2017, either. Learn about four common HIPAA violations many people overlook and how you can avoid them.   Mishandling Medical Records

Read the full article »

Signature Requirements: Important things to remember

By: Christina Colegrove RN, BSN – Clinical Consultant The Medicare Program Integrity Manual requires that services provided/ordered are authenticated by the author.  This can be in the form of a handwritten or electronic signature.  Signature stamps are not acceptable. Please see some other important points related to signatures below. Handwritten Signatures Illegible signatures: MACs, ZPICs,

Read the full article »

Prepare for the future – New Social Security Number Removal Initiative

By: Nancy Conant, Clinical Consultant Are you aware the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 mandates the removal of the SSN-based HICN from Medicare cards?  This is a huge undertaking as CMS has identified approximately 90 different stakeholder entities that receive, store, use, or provide the HICN today.  The reason for this

Read the full article »

UPDATE: Targeted Probe and Educate (TPE) Pilot

UPDATED: October 6, 2017 In October 2017, the TPE Pilot is now open to all four DME MAC Jurisdictions. Suppliers will be chosen based on the following criteria: Items that pose the greatest financial risk to the Medicare Trust Fund – HCPCS with high national error rates, high dollar equipment, etc. Individual suppliers with high

Read the full article »

Complex Rehab Technology and Manual Wheelchair Accessories:Help HR 3730 Get Passed

By – Kay Koch, OTR/L,ATP, RESNA Fellow Complex Rehab Technology (CRT) includes specialized wheelchairs, seating systems, and other adaptive equipment such as standing devices and gait trainers.  These individually configured products are used by people with high level disabilities such as ALS, cerebral palsy, multiple sclerosis, muscular dystrophy, spinal cord injury, and traumatic brain injury

Read the full article »

Audit Alert: CPAPs and Spinal Orthoses

On August 2, 2017, Performant Recovery, the National DMEPOS RAC, added Spinal Orthoses to their approved issues list. According to their website, Performant Recovery will perform complex reviews of these claims to determine if coverage criteria outlined in the Local Coverage Determination (LCD) for Spinal Orthoses was met. Performant will review medical documentation provided to

Read the full article »