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Read the latest articles we've published.
HDM Achieves HBMA Compliance Reaccreditation
Healthcare Data Management, Inc. believes in fostering a culture of compliance and seeks to maintain inscrutable compliance plans, records, and training. Our goal is to not only meet official government regulations, but to truly protect the patients that our clients entrust us to serve. A key piece of our compliance journey is through the HBMA Compliance Accreditation program. HDM has maintained Compliance Accreditation since enrolling with the program in 2020. …
2022 Insurance Cards: Additional Information Mandated
In December 2020, Congress signed the Consolidated Appropriations Act (CAA) into law. One section of the new law, referred to as the No Surprises Act, requires carriers to display deductible and maximum out-of-pocket limitations on member ID cards for coverage beginning January 1, 2022. The No Surprises Act is designed to prevent consumers from facing unexpected out-of-network expenses. While there are many provisions built into this law, one of them …
Modifier 25: When to Use, and When NOT to
Many healthcare providers (and sometimes even coders and medical billing companies) incorrectly believe that anytime an E&M (evaluation and management code, 99XXX series) is billed with another service, the modifier 25 needs to be appended to the E&M. The rationale behind Modifier 25 is that it communicates to the insurance carrier that the exam was significant and separate from the work involved in the other procedure performed on that day. …