Legal Compliance

Insurance plans are using the audit process to recoup payments for services which were preauthorized, based on charting. What should practices know?

Just because “nothing has changed,” doesn’t mean annual HR and compliance training should be avoided. Training can be easily forgotten.

Several six-figure HIPAA settlements were levied against healthcare organizations this year. Here are the top HIPAA incidents of 2015.

‘Tis the season! Cartoonist Jon Carter reveals that a few Christmas and holiday characters and traditions are just well-disguised ICD-10 codes.

For many physicians like Theo Felts, a family practitioner in Overland, Kan., ICD-10 has been no sweat at all. In this Q&A, he discusses the transition.

Is your practice suffering with ICD-10 or has it been a smooth transition? Take a quick five-question survey and share your experiences.

There are ways for physicians to avoid filing a report to the National Practitioner Databank (NPDB) when they are being sued for malpractice.

With a dearth of coders thanks to the ICD-10 transition, some practices find that training current staff is the best way to get good coders.

On Friday the 13th, a ruling against the FTC was a stroke of good luck for the rest of the healthcare industry, which is already overregulated.

Fall brings a new set of activities that may require new ICD-10 codes at your practice. Here's a list of 15 possible – and funny – autumn injuries.

The NCCPA recently proposed more CAQs for PAs in specialty areas of medicine and may make them mandatory. This is a bad idea, says one provider.

A recent ruling against a pharmaceutical company shows physicians how the False Claims Act can hurt them legally and financially.

Avoid problems with reimbursement through accurate and specific coding in ICD-10. Here are some tips to do that.

The big bang of ICD-10 has happened. Practices should focus on getting reimbursement from third-party payers and clearing up any issues.

Switching from ICD-9 to ICD-10 was predicted to be calamitous, especially for small practices. But, for many, it wasn't.

Everything seems fine on the surface with ICD-10 thus far, but is there a false sense of security?

A new billing code allows docs to be reimbursed for non face-to-face care for patients with two or more chronic conditions lasting 12 months or more.

When it comes to HIPAA breaches, entity size does not matter. What matters is the Office for Civil Rights (OCR)’s oversight and compliance.

The early returns on ICD-10 from payers and a clearinghouse have been positive. Yet, no one is ready to pop the champagne and celebrate quite yet.

With many doctors interested in getting involved with some kind of telehealth model, it’s important to know the legal and reimbursement limitations.

It’s early in the ICD-10 transition, but one doc began dual coding over a year ago and already has a few lessons to dole out.

ICD-10 is now the official language of insurance claims. Here's how to avoid translation problems and other tips to keep your head above water

Tomorrow is the big day for the ICD-10 transition. If you’re feeling overwhelmed, here are ten last-minute resources to help you out.

With ICD-10 implementation deadline and Halloween both coming up, here’s another cartoon that looks at the scary similarities of the two days.

With Halloween and Oct. 1 both coming up, here is a look at the scary sights of ICD-10. Which do you find more frightening - ICD-10 or Halloween?