Financial Survival Toolkit
The following document is a supplemental worksheet for Stanley Greenfield’s handbook. If you would like information on this material, please call the ICS office.
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HIPAA Forms
These forms are being made available to our members. Remember, forms are only a small portion of the requirements for HIPAA compliance. Offices must have the correct policies, positions, forms, AND training.
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Scope/Authority to Order Challenges
Sometimes our members’ ability to order lab work, blood tests, physical therapy and the like may be challenged by other offices or facilities. The ICS Staff has created the following letters to assist our members with these issues.
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Assignment and Designation of Authorized Representative
The Assignment form is a crucial document that you must obtain in order to serve as the authorized representative of the patient to pursue the patient’s rights under ERISA. In other words, ERISA is a right belonging to the patient – not the doctor – unless the doctor obtains an Assignment. Use the Form and article below for more information:
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CME Tracking
The MPA requires 150 hours of CME for the licensing period, divided into 60 hours in Category I and 90 hours in Category II. For the renewal period in 2002 and thereafter, physicians will be responsible for 150 hours for the three-year licensing period earned during that period.
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Anti-Trust Policy
he antitrust laws of the United States and the various states prohibit agreements, combinations, and conspiracies in restraint of trade. Business competitors are prohibited from engaging in actions that could result in unreasonable restraint of trade (i.e. price fixing).
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Aetna 97140 Policy Update
A few months ago, Aetna released a new policy indicating they will no longer pay for 97140 (manual therapy techniques) when performed on the same date of service as a CMT code (9894x). This even includes billings where the provider appends the -59 modifier (appropriately or inappropriately).
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Who and What is the OIG?
The Office of Inspector General (OIG) Health & Human Services (HHS) of was established 1976 and has been at the forefront of the Nation’s efforts to fight waste, fraud, and abuse in Medicare, Medicaid, and more than 300 other HHS programs. The majority of OIG’s resources go toward overseeing of Medicare and Medicaid, and they develop and distribute resources to assist the health care industry in its efforts to comply with the Nation’s fraud and abuse laws and to educate the public about fraudulent schemes.
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