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E/M Coding Updates Podcast

E/M, CPT Code, & Documentation Updates for 2021 – CMS & AMA Come Together to Benefit Providers

Cindy Groux, CHBME/Board Member at HBMA and CEO, President and Owner of Health Care Practice Management, will address new CPT codes for 2021 to include prolonged services and clinical staff services, documentation changes to reduce the administrative burden, decreased needs for audits and how to promote coding consistency, and new rules for time billing.

Catherine Short
Audit Zone, Billing, CMS, Coronavirus, COVID-19, Data Collection, Data Privacy, Data Security, EHR, ICD-10, ICD-10-PCS, Patient Satisfaction, Podcasts
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Appropriate Use Criteria: What you Need to Know

Catherine Short speaks with Melody Mulaik, President of Revenue Cycle Coding Strategies to address a current hot topic, “Appropriate Use Criteria: What you Need to Know.” 2021 is also going to be an official CMS testing year for AUC/CDS implementation. This episode will identify specific areas of concern for your organization regarding AUC/CDS implementation, help you to facilitate discussions with all stakeholders to ensure all perspectives are heard and addressed, and assist in designing actions that can be taken to facilitate a successful implementation to ensure revenue is not negatively impacted. 

Catherine Short
access, Billing, CMS, Coronavirus, COVID-19, General Compliance, ICD-10, ICD-10-PCS, Podcasts, Protected health information
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Performance Improvement Plan

Is Your Compliance Program Effective?

Having a compliance program in place is a start but having an effective compliance program is the goal. Proactively assessing the effectiveness of one’s own compliance program is better than…
First Healthcare Compliance Staff
1st Healthcare Compliance, Abuse, ACA, Anti-Kickback Statute, Audit Zone, Blog, Breach, compliance program, Corporate Integrity Agreement, Dashboard Zone, DOJ, effective compliance program, Employee Zone, FCA, Fraud, Healthcare, HIPAA, HIPAA Zone, ICD-10, Individual Accountability, LEIE, OSHA, OSHA Zone, physician self-referral law, Quarterly Zone, Stark Law, Uncategorized, Whistleblower, Wrongdoing
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OIG WORKPLAN 2016

The Office of the Inspector General (OIG) is responsible for protecting the integrity of the programs in Health and Human Services against fraud, waste and abuse as well as recommending…
First Healthcare Compliance Staff
1st Healthcare Compliance, Abuse, ACA, Affordable Care Act, Anti-Kickback Statute, Audit Zone, Blog, Breach, Business Associate, CMS, compliance program, Corporate Integrity Agreement, Covered Entity, false claims act, Fraud, HHS, HIPAA, HIPAA Zone, HITECH, ICD-10, Imaging, Medicare, Medicare Rules, OCR, OIG, OIG Work Plan, Overutilizaton, PHI, physician self-referral law, Quarterly Zone, self-disclosure, Stark Law, Waste, Whistleblower
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Healthcare Compliance -Claims and Procedures

Billing Care Plan Oversight Risks

Care Plan Oversight describes the physician or other healthcare professional’s supervision of patients in hospice, nursing facilities or those receiving care through home health agencies. CPO reimbursement covers initial certification,…
First Healthcare Compliance Staff
1st Healthcare Compliance, Abuse, Audit Zone, Blog, Care Plan Oversight, CMS, false claims act, FCA, Fraud, ICD-10, Medicare, Medicare Rules, physician self-referral law, Uncategorized, Waste
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Testimonials

  • Robert Henry, PA-C, CEOAmbient Care, Seaford, DE

    In an era of ever changing regulations, First Healthcare Compliance has given us the tools to seamlessly and efficiently stay on top of our compliance requirements. This allows us more time to focus on patient care and other aspects of practice management.

  • Dr. Marc D. Grobman, DO FACPInternal Medicine & Primary Care, Wilmington, DE

    Using this solution, I am confident that I am meeting the guidelines or that I can seek help for areas in which I cannot perform the requirements on my own.

  • R.K. Conell, Practice ManagerAlexiou Hearing and Sinus Center, PLC and Harrisonburg Dermatology, PLC, Harrisonburg, VA

    The First Healthcare Compliance solution has everything you need to get started. It helps a practice become compliant on a very timely basis. Without this, it would have been a very extensive and intensive process.

  • Anne Elkin, EsquirePractice Manager, Boothwyn Medical Associates

    The solution has been a great help to our practice. We can now organize all our compliance data in one place.

  • Paul Smiley, NHAAdministrator, Gilpin Hall

    The First Healthcare Compliance solution offers a simple and effective centralized system to access and assemble our compliance data with minimal effort and maximum return. I highly recommend it!

  • Neil S. Kalin, MDKalin Eye Associates, Newark, DE

    I’d been searching for a compliance plan for many years. The First Healthcare Compliance solution is cost-effective and efficient. All of the compliance materials are in one place.

  • Kris Jones-Bartley, CPCPresident,
    Healthcare Management System

    The First Healthcare Compliance solution allows our business and our clients to save time and money, and mitigate compliance risks. I highly recommend it to other healthcare billing companies.

  • Mary Ann Tyler, Practice AdministratorSinclair Retina Associates, PC, Media, PA

    Compliance in all areas always seemed to take a back seat to day to day operations. First Healthcare Compliance has developed a solution that easily brings any size office into compliance. It gives me peace of mind.

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