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NPP Coding & Auditing: Expert Advice

Posted by CJ Wolf, Sep 26, 2019 1:30:53 PM

We recently, recorded a new episode of Compliance Conversations, titled “Understanding the Nuance of NPP Coding” with Christopher Chandler, a Technical Manager of Professional Documentation and Coding,

Compliance News Roundup: Improper Billing, Illegal Kickbacks and Audit Chiropractor Results

Posted by Healthicity, Sep 25, 2019 1:04:18 PM

1. Hospital Pays $2.85 Million to Settle Improper Billing Allegations -

Deeper Than the Headlines: Audit Results of Chiropractic Services

Posted by CJ Wolf, Sep 23, 2019 10:28:38 AM

In calendar years 2014 and 2015, Medicare allowed payments of approximately $1.3 billion for chiropractic services provided to Medicare beneficiaries nationwide.

Must-Know Billing & Coding Fundamentals for Compliance Professionals

Posted by CJ Wolf, Sep 19, 2019 10:28:56 AM

As compliance officers, we know all too well that our departments are often viewed as cost centers.

Compliance News Roundup: Improper Billing, Services Not Rendered, and Your EMTALA Questions Answered

Posted by Healthicity, Sep 18, 2019 11:24:44 AM

1. It’s Prison Time for Doctor Who Billed Private Insurers for Services Not Rendered -

Unspecified Code Best Practices You Can Start Using Today

Posted by Lori A. Cox, Sep 17, 2019 10:26:50 AM

According to the ICD-10-CM Guidelines, “Codes titled 'unspecified' are for use when the information in the medical record is insufficient

ICD-10 Reminder Series: Section 1.C.15 Pregnancy, Childbirth and Puerperium

Posted by Vikas Chawla, Sep 17, 2019 10:15:47 AM

Encounters for patients who are pregnant, in delivery, or in the puerperium, use codes from Chapter 15:

Ask A Compliance Officer: EMTALA Q&A with Dr. CJ Wolf

Posted by CJ Wolf, Sep 16, 2019 12:54:53 PM

Recently we held a webinar titled “EMTALA Mistakes You Should Never Make,” where we had a vibrant Q&A following the presentation. Because we didn’t have time to answer all of the questions during the webinar, I went through and answered some of the more interesting questions from the audience.