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MIPS
Your 2024 MIPS Performance Score is Now Available for you to Review
Your 2024 MIPS performance score is now available for you to review. It is very important that you review your score NOW. There have been mistakes in the past and you only have a short time to identify those issues and request a Targeted Review to get any errors corrected.
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Coding
Coding Pearls - Fracture Care and Casting
Can the application of a below the knee, non-weight bearing fiberglass cast be billed for in order to treat a fracture?
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HIPAA
HIPAA Risk Analysis - Key to Saving Money
Syracuse ASC, also known as Specialty Surgery Center of Central New York, has been fined $250,000 to resolve violations of the HIPAA Security Law and Breach Notification Law. OCR was able to confirm that the incident was a ransomware attack using the PYSA variant. The data breach dates back to March 2021 where unauthorized access to ePHI of a reported 24,891 patients. The threat potentially stole names, birth dates, Social Security numbers, financial data, and clinical information. The breach was not reported to the affected individuals until October 2021.
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FDA Recalls
Coding
Coding Pearls - Using the 58 Modifier Appropriately Modifier 58 v Modifier 78
My associate doctor recently billed for a hospital outpatient surgery: 28005 and 11981.
The antibiotic spacer kept displacing during the p/o period, so he went back earlier than expected to do the following, hence the patient is still in the post operative global period from the first set of procedures:
28755 -- 58,RT -- M10.9
20705 -- 58,RT -- M86.9
11750 -- 79,T5 -- L60.0
Is this coded correctly with regard to modifiers and diagnosis codes? I personally have never done a staged procedure, and I know my billing company probably won't know either, so I figured I'd ask here first before submitting and getting hit with denials.
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FDA Recalls