$100,000 Penalty Against Mental Health Center – Failure to Provide Timely Access to Records
The Office of Civil Rights (OCR) imposed a $100,000 penalty against a California mental health facility, Rio Hondo [...]
Jan
Virginia Practice Pays $2M For False Documentation
A hospital in Virginia agreed to pay $2,378,731.06 for submitting claims to Medicaid that were improperly modified by the request of the practice’s employee. Here [...]
Jan
Verification of Benefits – Are Payers Bound by Those Calls?
Verification of Benefits (“VOB”) occurs nearly daily, and the practice relies on the information provided by the [...]
Jan
G2211 Can be Reported with Preventive Services
CMS Issued Transmittal 13015 on December 23, 2024, covering expanded reporting of G2211. CMS allows payment for G2211 when certain [...]
Jan
Denial$ to Dollars: Writing a Winning Appeal – Mt. Pleasant, MI
The average denial rate is 18.12% for in-network claims based on data reported from the Health [...]
Sep
2024 Third Party Payer Day
Third Party Payer Day is a premier event for medical billers, coders, reimbursement managers, practice [...]
Sep
Michigan’s Senate Bill 27: Mental Health Reimbursement
Mental Health Reimbursement from Michigan’s Senate Bill 27 New Legislation Update— The 7 key breakdowns [...]
May
G2211 Visit Complexity Code: Simplified Requirements for Reimbursement
G2211 visit complexity is now payable. We explain the requirements in simplified easy to understand [...]
Mar
G2211 Simplify Visit Complexity: Documentation, Audit Defense & Reimbursement
G2211 Simplify Visit Complexity Event Join us for the opportunity to delve into the coding [...]
Feb
What Do Healthcare Law Firms Do?
Healthcare law firms are indispensable to medical providers. They provide comprehensive, ongoing legal services to [...]
Oct