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February 2010 |
| Welcome to our newsletter |
| You are receiving this e-mail as a current client of Compliance Concepts, Inc. (CCI). We appreciate your business, and wanted to take this opportunity to introduce you to our new e-Publication, the "CCI Insider". Each month you will receive the CCI Insider, keeping you informed of recent developments affecting compliance, and providing insights to our services and products. |
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Medicare says Goodbye to Consultation |
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| Lyn Chew, CCI Principal |
Effective January 1, 2010, CMS ceased paying for physician consultation services, except in a very few select circumstances. While most other payers continue to pay for these services, the billing or “non-billing” of consultation codes has created operational issues for physicians at all levels. Over the past several months, CCI has worked with a number of its academic and physician group clients to assist in the transition in billing for these services, establishing crosswalks and edits to aide in accurate billing. If your organization has any questions or issues with the new rules for “consultation” services, please feel free to contact Lyn Chew or Pat Marion at (724) 940-0077.
For more information please visit CCI Consulting Services. |
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Recovery Audit Contractor (RAC) Ready? |
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| Donna D. Wilson, RHIA,CCS |
The RAC program is now well underway, and in fact, the results of some of the RAC automated reviews have already filtered over to the Office of Inspector General (OIG) for investigation. And all of the RAC Contractors have initiated complex coding reviews of select inpatient MSDRGs. CCI has a team of coding professionals whose real-life experiences (all over 20 years each) can assist you in evaluating and refuting RAC audit determinations. For more information on our RAC assistance services, please contact Donna Wilson at dwilson@ccius.com.
For more information please visit CCI RAC Services. |
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ComplianceLine Case Management |
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| Steve Evans, VP ComplianceLine Operations |
We have implemented a new case management application four our Compliance Line service, and have begun to roll it out to our clients. Our intentions are to provide our existing client base with an affordable solution for managing their helpline cases, and to align themselves with us as we begin our “Going Green” initiatives for 2010.
We value our relationships with all of our clients, and are constantly reevaluating our operating procedures in an effort to improve our service. As always, we encourage you to contact us if you have questions, concerns or any suggestions that would improve our processes. Please contact Steve Evans at sevans@ccius.com.
For more information please visit ComplianceLine. |
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SanctionCheck now uses UPINs and State Locations |
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| Karan Robinson, SanctionCheck Manager |
To help with the ruling out processes, you can now include a physician’s UPIN and specific State to rule out employees and contractors when submitting the batch file on www.SanctionCheck.com. When submitting physician information, enter UPINs into the F column of the excel spreadsheet, and states in the G column. You may put miscellaneous information, such as an employee ID in the E column, for reference or tracking purposes, although it will NOT be used to rule out names.
For Vendor names, put miscellaneous data, such as TINs, in the B column. The B column will NOT be used for ruling out since it is for tracking purposes only. You may rule out using states by putting the abbreviated state (NC, CA, etc...) in the C column.
A sample employee/physician and vendor template is available under the Help section of the "Batch Search" link after logging into www.SanctionCheck.com. You may also contact Karan Robinson at krobinson@ccius.com for further assistance.
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Introducing...CCI Assessor |
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| Bryan Rainey, VP IT |
We are excited to let you know about our new online Enterprise Risk Management web software, which we have named, CCI Assessor. The CCI Assessor platform will allow you to manage all of your organization’s risk and compliance issues within one flexible, configurable solution; along with providing easy access to information, and the ability to configure custom workflows.
Modules currently available include:
- Compliance Case Management for managing ComplianceLine help line reports.
- RxRAC for managing the Recovery Audit Contractor (RAC) process.
- HIPAA to assist organizations with the new HIPAA HiTECH privacy breaches and violations.
For more information contact Bryan Rainey at brainey@ccius.com or call our Charlotte, NC office at +1 800-617-0415. |
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