by Mary Pat Whaley | Jul 21, 2013 | Collections, Billing & Coding, Compliance, General, Medical Coding Education, Medicare & Reimbursement, Medicare This Week
Medicare recently started denying an increased number of claims because documentation submitted for diagnostic tests does not include signed test orders or evidence of intent (MD progress notes listing tests needed) and evidence of medical necessity...
by Mary Pat Whaley | Jun 17, 2013 | General
I’ve had many interviews over the course of my career, but one is particularly memorable because of the interview question that completely stumped me. I was in the third and final phase of an interview, having already met with a team of potential peers and the...
by Mary Pat Whaley | Jun 12, 2013 | General
As a healthcare consultant, it is not unusual to be asked about HIPAA regulations on a weekly basis. Three questions come up regularly and seem to cause the most confusion when discussing HIPAA. I call them the Three Big HIPAA Myths – you...
by Mary Pat Whaley | Jun 3, 2013 | General
Release of Protected Health Information (PHI) is strictly controlled by the Privacy Rule regulations of the Health Insurance Portability and Accountability Act (HIPAA). Many practices struggle with a solid process to fulfill record requests in compliance with HIPAA,...
by Mary Pat Whaley | May 20, 2013 | General
Many patients are panicked that their physician will stop seeing Medicare patients, and that is not without cause. Physicians that care for Medicare patients do so at a loss to their practice which they can only hope to make up for from other payers. As money gets...
by Mary Pat Whaley | Apr 21, 2013 | General
History is full of marketing disasters, and some are funnier than others. One addition to the ranks is the recent “Cheat Death” campaign created by North Carolina’s Caromont Regional Medical Center in Gastonia. Intended to promote healthy eating and increased...
