Medicare Compliance & Reimbursement - 2015 Issue 12
Physician Notes:OIG Recommends Removing SSNs From Medicare Cards
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Article Overview
This article covers a Medicare program integrity and privacy update alongside a documentation reminder from a Medicare Administrative Contractor. It is aimed at physicians, coders, auditors, and compliance staff who track CMS-related policy discussions and evaluation and management documentation expectations. The discussion is brief and practical, focusing on the general compliance implications of beneficiary identifier protection and recordkeeping standards.
Why This Topic Matters
The topic affects patient privacy concerns, Medicare administration, and how documentation supports evaluation and management coding levels.
Article Sections
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Medicare card privacy and SSN removal recommendation
A brief update on an OIG-supported privacy concern involving Medicare beneficiary cards and personally identifiable information. The section discusses the broader program integrity context and the possibility of future CMS action.
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MAC reminder on high-risk MDM documentation
A Medicare Administrative Contractor note addressing documentation expectations tied to medical decision-making risk assessment. The section focuses on general recordkeeping concerns for evaluation and management services.
What You Will Learn
- The general compliance issue surrounding Medicare beneficiary identification on cards
- Why Medicare privacy concerns are connected to fraud and identity protection discussions
- The type of documentation emphasis a MAC is highlighting for medical decision-making risk assessment
- Who should review records when documentation is used to support higher-level evaluation and management coding
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Auditors
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