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MIPS
Bunion Pain REGCLR3
Description:
REGCLR3 measures the improvement in functions of patients with a diagnosis of Bunion Pain . Improvement is measured as a reduction in pain after an intervention. The patient must be treated, it is up to the medical provider to select the medically appropriate treatment. Treatments may include surgical intervention, shoe wear modifications, orthotics, and physical therapy.
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Coding
Coding Pearls - Multiple Skin Substitutes
“My billing team and I have a difference of opinion. If we apply more than one graft, they have been using modifier -76. It is getting paid, but I am not sure that is the appropriate use of the modifier. I just assumed that we would bill for total units. However, each graft has a unit number. So, if we bill double the units, we need a way to alert the insurance company why the units are doubled. This is why we started using the 76 modifier. Any input would be appreciated.”
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FDA Recalls
HIPAA
Skip HIPAA Risk Analysis at Own Risk
The U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR), has reached a settlement with Health Fitness Corporation following a HIPAA violation involving the unauthorized online exposure of electronic protected health information (ePHI). The breach occurred due to a software misconfiguration, making sensitive health data accessible online. This violation highlights the importance of maintaining proper security controls and conducting regular risk assessments to prevent unauthorized data exposure.
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Coding
Coding Pearls - ABNs and CPT 11750
“I have a question concerning Medicare’s rules when billing for repeat CPT 11750. What is the recommendation for billing these for a regrowth following a previous CPT 11750? In another scenario, on the same subject, what if the procedure needs to be performed on a nail border that is adjacent to one that was already billed? Can and should we use an ABN and upon denial, bill the patient?”
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FDA Recalls