INDUSTRY NOTES: Carriers Will Consider All Diagnosis Codes On Medicare Claims

Why This Topic Matters

The article highlights a Medicare claims-processing change that affects diagnosis reporting workflow, plus compliance issues that can trigger audits, suspensions, or enforcement actions. It also underscores privacy and fraud risks in home health operations, which are important for organizations handling patient information and Medicare billing.

Article Sections

1. CMS claims-processing change for Medicare diagnosis reporting

   Discusses a CMS transmittal requiring updates to Medicare claims-processing systems and related audit logic for diagnosis information on claims.

2. Stolen laptop causes privacy concerns for home care provider

   Summarizes a reported theft involving patient information and the response from a home care organization.

3. California U.S. Attorney cracking down on illegal kickbacks and Medicare fraud

   Covers a Medicare fraud case involving home health agencies, alleged kickbacks, false records, and related legal action.