Find-A-Code Focus Newsletter

2016 June Items

Hundreds arrested for $900 million worth of health care fraud

June 23, 2016
CNN reported an astounding number of individuals charged with false billing. There was about $900 million in false billing that involved Medicare and Medicaid fraud. Along with the $900 in false billing, $36 million in Detroit involved a front for a narcotics diversion scheme. There were 301 defenda... Read More

Filing Primary and Secondary Insurances

June 16, 2016 - By Christine Taxin
Question I received this week. Why is this so hard?  1. When filing Primary and Secondary insurance, you MUST bill your Full Fee on the patient’s ledger. 2. Submit Primary claim and Secondary Claims. 3. The patient is responsible only for the fee up to the lower of the two insurances.... Read More

FREE WEBINAR - 6/28/16 Introduction to Building and Governing Your HIPAA Compliance Program

June 16, 2016
Free Webinar - Tuesday June 28, 2016 from 1:00 PM to 2:00 PM MDTRegistration is now open for the upcoming HIPAA webinar: Introduction to Building and Governing Your HIPAA Compliance Program.   Please join HealthInsight Utah, Mountain Pacific Quality Health, HealtHIE Nevada and HIPAA One for... Read More

Free 50 Question CPC® Practice Exam - With Instant Online Test Results

June 16, 2016 - By CodingCertification.Org
This 50 Question Free CPC® Practice Exam was created by Laureen Jandroep and the certified team of medical coders at CodingCertification.Org. Free 50 Question CPC® Practice Exam with real "exam-like" questions. Our questions are similar to the question on the actual CPC® exam.... Read More

Pre Claim Review being done by Medicare

June 13, 2016
Medicare is implementing a three year Pre-Claim Review Demonstration of Home Health Services in the states of Illinois, Florida, and Texas beginning in 2016, and in the states of Michigan and Massachusetts beginning in 2017.  CMS is testing whether pre-claim review improves methods fo... Read More

Mandatory Submission of Staffing Data via PBJ Begins July 1 for Long Term Care Facilities

June 13, 2016
Electronic submission of staffing data through the Payroll-Based Journal (PBJ) is required of all long-term care facilities starting July 1. The last day to submit data for fiscal quarter four (July 1 through September 30) is November 14, 2016. Nursing homes can register now in the PBJ system to pre... Read More

2017 ICD-10- CM Obstetric Updates

June 08, 2016 - By Bonnie Shreck
The preliminary list of the new ICD-10- CM codes that become effective October 1, 2016 have been released. There are approximately 1600 changes to the code set, making up for the years the ICD-10- CM codes have not had updates. For FY 2017, many changes have occurred in the ‘O&... Read More

Dental vs Medical Policy Criteria

June 07, 2016
To help the understanding of what is covered under Dental and what may be covered under Medical, review Regence's coverage criteria:   Coverage under medical or dental benefits is determined by the condition that is being diagnosed and treated, regardless of whether the service is provid... Read More

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