Azalea Health Innovations Friends Newsletter – March 2009
IN THIS ISSUE
* Azalea LabHub™ in CLP Magazine: How Do Clinical Labs Fit Into the EMR Loop?
* Stimulus and Recovery bill effects HIPAA
* Medical Billing Tip: Instructions on finding Medicare physician fee schedule.
* AHI Upcoming Events
Hello to all of our Azalea Health Innovations friends. We hope you enjoy this month’s Newsletter. AHI wishes our readers a happy and prosperous spring!
Azalea LabHub™ in CLP Magazine: How Do Clinical Labs Fit Into the EMR Loop?
Stimulus and Recovery bill effects HIPAA
President Obama recently signed into law the American Recovery and Reinvestment Act of 2009 (ARRA). Because the adoption of electronic medical record (EMR) systems is critical to improving patient care and reducing medical costs, the ARRA includes $19 billion dollars to increase the use of information technology in health care. The ARRA also extends the Health Insurance Portability and Accountability Act’s (HIPAA) patient privacy rules. The new set of standards is called the Health Information Technology for Economic and Clinical Health Act (HITECH Act).
The HITECH Act extends HIPAA to business associates of a HIPAA covered entity and also includes requirements for notifying individuals if their patient health information (PHI) has been accessed in an unauthorized manor. The law requires a notice to the media for security breaches of more than 500 individuals. For violations due to willful neglect that are not corrected, penalties start at $50,000 and are not to exceed $1.5 million. Although the HITECH act is certainly a step in the right direction, many questions still surround this new legislation and it will be interesting to see how this plays out over the next year.
Medical Billing Tip: Instructions on finding Medicare physician fee schedule.
Below are instructions that should help physicians, office managers, and billers on using the Medicare physician fee schedule lookup tool on the CMS website. The website has information about fee schedule amounts, relative value units, payment policy indicators and geographical practice cost index. Start by going to CMS physician fee schedule lookup website: http://www.cms.hhs.gov/PFSlookup/
On the top left side of the page, click on “Physician Fee Schedule Search”. After accepting the licensing agreement, “Step 1″ is selecting the “Year”, “Healthcare Common Procedure Code(HCPC) Criteria”, and “Type of Information” from the available options. After making your selections, click the “Next” button. “Step 2″ is selecting “Carrier Options” (Nation, Specific Carrier, Specific Locality) and “Select field options” (All Fields (Policy and Pricing Information) or Default Fields (Pricing Information Only)). After making your selections, click the “Next” button.
“Step 3″ is entering HCPC and modifier values. In the HCPC field, enter a single CPT/HCPC code, range of CPT/HCPC codes or up to five CPT/HCPC codes depending on your previous selections. In the Modifier field, you must select a modifier; usually this will be all or global for family medicine purposes. Other options are professional/technical component modifiers and modifier 53 which represents a procedure which was not completed. Click the “Next” button when you are ready to submit.
Submitting will take you to page with results matching your criteria. We hope this tip will help you find the Medicare physician fee schedule information you are looking for. If you are having problems, please feel free to contact us and we will be happy to guide you through this process.
AHI Upcoming Events
AHI will be attending CLMA ThinkLab Conference May 2-3 in Tampa, FL. Come visit us at booth #315! http://www.clma.org/ThinkLab/index.html
AHI will be presenting Azalea LabHub to the VHA Georgia Lab Leaders’ Council in Atlanta. May 15 http://www.vha.com/vhageorgia
Azalea Health Innovations, Inc.
100 North Patterson Street
Valdosta, GA 31601
Toll Free: 877-777-7686
Toll Free Fax: 866-683-8679
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