Compliance

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New Unspecified Diagnosis Codes Excluded by CMS for 20...

On May 26, Centers for Medicare & Medicaid Services (CMS) outlined additional unspecified diagnosis codes the agency is excluding from both ICD-9 and ICD-10...

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Add-On Codes: CMS and Payment Policy...

An add-on code is a HCPCS/CPT code that describes a service that, with one exception (see next paragraph), is always performed in conjunction with...

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New CLIA Waived Tests...

On June 24, CMS released a change request informing contractors of new CLIA waived tests approved by the Food and Drug Administration. Since these...

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National Correct Coding Initiative Edits (NCCI)...

Back in 1996, the Centers for Medicare and Medicaid Services (CMS) developed the National Correct Coding Initiative (NCCI) to promote correct coding and prevent...

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Review of Current Medicare Administrative Contractors...

Since Medicare’s inception in 1966, private health care insurers have processed medical claims for Medicare beneficiaries. Originally these entities were known as Part A...

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Uncover and Monitor Potential Risks Associated with Co...

Increasing consumer regulations now opens healthcare providers to the same scrutiny that the Consumer Financial Protection Bureau (CFPB) and Federal Trade Commission (FTC) have...

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Staff Spotlight: Katie Zibelin...

Welcome Katie Zibelin, Experian Health Marketing’s newest team member. Katie made her Experian debut in August 2015 as an intern where she supported client...

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Recent CMS Change Requests for HIV, HPV, FISS Travel A...

Screening for the Human Immunodeficiency Virus (HIV) infection On February 5, CMS released a change request to inform contractors that CMS has determined that...

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ICD-10 Updates: The Freeze is Over...

After five years of ICD-10 classification system code freezes, October 1, 2016 will see the system back on the routine cycle for annual updates....

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