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09/28/15

WPS Posts Recent CERT Findings

Wisconsin Physician Services (WPS), Medicare Administrative Contractor for the states of Iowa, Kansas, Missouri, and Nebraska, has posted the recent CERT error findings for April 2015 – June 2015. To know one’s surprise, the CERT errors include therapy provided in the inpatient rehabilitation, skilled nursing facility and outpatient therapy settings. To view the findings, click HERE.

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09/28/15

Who is a HIPAA Covered Entity

The transition to ICD-10 applies to all entities covered under HIPAA for dates of service that occur on or after October 1, 2015. One of the most common questions I receive is who is considered a HIPAA covered entity? The Administrative Simplification standards adopted by Health and Human Services (HHS) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) apply to any entity that is a health care provider that conducts certain transactions in electronic form (called here a “covered health care provider”). a health care clearinghouse. a health plan. An entity that is one or more of these

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09/28/15

Is Your Workers Compensation Ready for ICD-10

With the transition to ICD-10 occurring on October 1, 2015, many are wondering if their workers compensation programs are transitioning to ICD-10 and if so, will they transition on October 1, 2015 or will they be delayed. In case you are wondering why I stated will the workers compensation program transition to ICD-10 as you thought everyone had to transition to ICD-10 on October 1, 2015. The mandated transition to ICD-10 is only for HIPAA covered entities. Workers compensation programs and auto no-fault carriers are not HIPAA covered entities so they are not mandated to transition to ICD-10 on October

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