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Corporate Compliance

Corporate Compliance

Tools, expert guidance, and education to help healthcare compliance and auditing professionals keep their organizations in compliance with federal and state laws and regulations. Practical strategies to ensure appropriate reimbursement and prevent violations of the False Claims Act, the Stark Law, HIPAA, the Anti-kickback Statute, and more.

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Top Stories

  • Note: Point of Origin codes revised and deleted

    CMS issued Transmittal R1917CP implementing the deletion and revision of certain Point of Origin for Admission or Visit Codes (formerly Source of Admission Codes) as adopted by the National Uniform Billing Committee (NUBC) effective July 1, 2010. The Point of Origin code is required on hospital inpatient and outpatient claims for diagnostic testing and identifies the source of referral for the admission or visit.

  • Meaningful use calls for meaningful risk analysis

    The proposed rule for the Medicare and Medicaid EHR incentive states that in Stage 1 of meeting the criteria for certified EHR, eligible providers are to attest that a risk analysis has been conducted and reviewed.

  • Take our HIPAA survey

    Please take 5-10 minutes of your time to complete this 11-question survey regarding HIPAA and HITECH. By completing the survey, you will become eligible for a $50 cash prize.

  • CMS expands medical request limits to all institutional providers

    CMS has expanded its fiscal year 2010 RAC additional documentation requests (ADR) (i.e., medical record requests) limits to all institutional providers.

  • Note from Peggy: Out with the old purchased services and in with the new anti-markup tests

    Say good-bye to purchased diagnostic tests and purchased test interpretations. And say hello to its new, concise replacement: anti-markup tests.
     
    CMS released a transmittal on January 15 that updates the Medicare Claims Processing Manual regarding anti-markup limitation rules. To understand everything, it’s helpful to have a terminology list including the terms’ associated meaning.

  • CA couple indicted for DME fraud scheme

    A Los Angeles married couple will serve time in prison for their participation in a $1 million durable medical equipment (DME) fraud scheme, according to a Department of Justice press release.

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