top of page
Dec 27, 2016
MIPS (Merit-Based Incentive Payment System)
Although most of this article relates to how MIPS operates for both anesthesia and chronic pain providers, there are parts that are...
Dec 13, 2016
What's New in Anesthesia for 2017
1. What’s Not New. There are no new anesthesia codes. There are no modifications to the existing anesthesia codes, although there is a...
Dec 12, 2016
What's New in Chronic Pain for 2017
**This article was revised to correct the descriptions of the new interlaminar epidural codes that were incorrectly defined in the...
Dec 7, 2016
CMS Requires Surgeon to Document Reason for Post-op Pain Block
Chapter 2 of the National Correct Coding Initiative states, “Postoperative pain management services are generally provided by the surgeon...
Sep 29, 2016
Billing Psychological Tests under CPT code 96103
Many pain groups bill 96103 for computerized testing of patients. The scope of what constitutes a valid use of 96103 has been in...
Sep 29, 2016
May a Billing Company Withhold a Client's PHI?
The last sentence of the prior article was partially incomplete. This is the corrected version. The OCR recently released a FAQ...
Sep 6, 2016
Coding a Fascia Iliaca Acute Pain Block
The AMA has provided guidance as to how to code a fascia iliaca acute pain block. Based on the anatomy involved, and physicians'...
Sep 6, 2016
FCA Liability for Too Many Drug Confirmations
On August 31, 2016, the U.S. Attorney's Office for the Middle District of Florida issued a press release stating that Coastal Spine and...
Jul 20, 2016
$2.7 Million HIPAA Settlement
Oregon Health & Science University (OHSU) has agreed to pay $2.7 million to the OCR for 3 HIPAA violations that it self-reported,...
Jul 11, 2016
FCA Penalties Proposed to Double
On June 30, 2016, the Department of Justice ("DOJ") issued an Interim Final Rule that doubles the amount of penalties under the False...
Jul 4, 2016
Business Associate Pays $650,000
For the first time, the OCR (Office of Civil Rights) has required a Business Associate to pay 6 figures for a HIPAA breach involving less...
bottom of page