Oversight of Home Healthcare Services Protects the Homebound and Prevents Fraud
Consider the case of the Nurses Registry and Home Health Corporation, based in Lexington, Kentucky. Owner and Executive Director Vickie…
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The Coding Modifer 59 Subset Primer is Available Now!
PCG Software Releases Primer on the Coding Modifier 59 Subset: XE, XP, XS and XU Primer provides guidance on new…
Best Practices for Hiring and Making Use of Nurse Practitioners, Physician Assistants
The number of nurse practitioners (NPs) in the United States has doubled in the last decade, from 106,000 in 2004…
A Solid Compliance Program Avoids Whistleblowing
Medicare and Medicaid billing fraud scams—upcoding and unbundling schemes, double and triple billing, phantom billing and illegal kickback schemes —cost…
Waiving Copays and Deductibles Waves a Red Flag
As co-pays and deductibles in Medicare and commercial health plans become more prevalent, so, too, does the temptation to waive…
Avoiding Risk Using New X Modifiers for Medicare Reimbursement
On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers,…