CMS Releases New Change Request Describing LCD Coding Changes

CMS recently released guidance that will affect the way Contractors handle coding information.  According to MLN Matters MM10901, “it will no longer be appropriate to routinely include Current Procedure Terminology (CPT) codes or International Classification of DiseasesTenth Revision-Clinical Modification (ICD-10-CM) codes in the LCDs. All [...]

Healthcare Compliance News!!

Here’s the 411, the lowdown, the scoop, the skinny – The top healthcare and compliance news of the past few weeks, plus some stories straight from the Zebu office headquarters! Source: https://mailchi.mp/zebucompliance.com/zebulletin-may-2019  

Pennsylvania Homecare Member? You’re missing an exclusive discount!

Why Choose EPStaffCheck? Because effective compliance monitoring saves money that can be applied toward patient care instead. Plus: You can save $250 annually as a member of the Pennsylvania Homecare Association! Compliance made simple Auditor-approved documentation trail Automated service monitor prevents accidental lapses Subscriptions for [...]

Colorado State Exclusion List

What is it? The Colorado State Exclusion List is a list of providers whose participation in Colorado Medicaid has been terminated for cause since 1/29/2011. The list is published and maintained by the Colorado Department of Health Care Policy and Financing.   Who Needs This Database? Organizations that are located in Colorado or are near [...]

Healthcare Compliance News!!

Here’s the 411, the lowdown, the scoop, the skinny – The top healthcare and compliance news of the past few weeks, plus some stories straight from the Zebu office headquarters! Source: https://mailchi.mp/zebucompliance.com/zebulletin-april-2019-2

CMS Preclusion List

What is it? A list of providers and prescribers who are precluded from receiving payment for Medicare Advantage items and services or Part D drugs. Who’s on it? Prescribers and individuals or entities that fall within any of the following categories: Currently revoked from Medicare, under an active reenrollment bar, and CMS has determined that [...]

6 New Medical Necessity Databases Available

The Zebu Compliance Solutions content team has been hard at work building new medical necessity databases. We have recently added several Managed Care Organization databases and a couple of Private Payer databases.The following databases are now available for ABN Assistant, ClaimScrub, and DataTank: Ohio Medicaid – Buckeye Health Ohio [...]

Coding Updates Effective October 2018

Eighteen Proprietary Laboratory Analyses (PLA) codes were added to the CPT list, effective 10/01/18. PLA codes started in 2017, and now number nearly 80 codes. PLA codes provide labs and manufacturers with a way to more specifically identify tests. The new code range of 0062U-0079U spans multiple tests, including: IgG and IgM analysis Antibody [...]

HEALTHCARE COMPLIANCE NEWS!!

Here’s the 411, the lowdown, the scoop, the skinny – The top healthcare and compliance news of the past few weeks, plus some stories straight from the Zebu office headquarters!   Source: https://mailchi.mp/zebucompliance.com/septemeber-zebulletin-1343353

The Importance of Cleared Records

One of your most important time-saving tools in EPStaffCheck is your Cleared Records library. By marking results that are not true matches, you avoid checking the same results month after month! And by entering a quick note about why a potential match was not actually a match, you can easily answer auditor questions about your […]