Compliance programs are an effort by the government to maintain integrity in the healthcare system. These programs target activities causing improper payment to determine their root cause: Was it a mistake or error, was it inefficiency or waste of resources, is the provider bending the rules or abusing the system, or was it intentional deception or fraud? There are also laws dictating the compliance culture within practices and institutions; for example, red-flag rules, antikickback statute, and stark law, to name a few.
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Practice Page
The importance of coding certification
Rheumatologists Struggle with Drug Shortages
While not yet at a ‘catastrophic’ level, shortages are becoming more common
I Will Be the Squeaky Wheel
Being the voice of rheumatology is critical to improving care for our patients
Letters
Feedback from our readers
Coding and Billing Guidelines Overview and Resources
Due to federal regulations and the variety of audits that now exist, the ACR has developed an overview of guidelines and identified a list of resources to keep handy to ensure all current guidelines are strictly followed.
What You Need to Know about ACOs
Rheumatologists may need to speak up to get a place in these new healthcare groups
A Meeting of the Minds for RA Research
REF investigators gather to share research progress and trade advice
It Takes All Kinds
A look at the rheumatology practice team
The Anatomy of Coding
It is essential for coders to understand the rules of engagement, especially when it comes to correct coding and using the most up-to-date coding tools. Those who interact with Current Procedural Terminology (CPT), the International Classification of Diseases (ICD), or insurance companies also have the experience of dealing with the countless coding rules and guidelines.
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