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/june-zebulletin-1343293

ICD-11 Set to be Released on January 1st of 2022

On June 18th, the World Health Organization (WHO) released the new International Classification of Diseases (ICD-11). ICD contains around 55,000 unique codes for injuries, disease and causes of death. ICD-11 will be presented at the World Health Assembly in May of 2019 for adoption with a planned effective date of January 1, 2022. ICD-11 will [...]

In the Heart of it All

Zebu has operated in the heart of Portsmouth, Ohio for nearly 20 years. Our data spans the country, but we’ve seen, close-up, the devastating effects of the opioid crisis. Payers are creating policies to address drug treatment options like Buprenorphine, Naltrexone, and psychiatric treatment. And here at Zebu we track every change to keep [...]

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! https://mailchi.mp/zebucompliance.com/june-zebulletin-1343261  

Zebu and United Claim Solutions are joining forces!

Zebu is thrilled to announce our merger with United Claim Solutions. UCS provides a suite of customizable claims flow management and payment integrity services, creating an ideal partnership opportunity with Zebu’s claim editing and continuous credentialing solutions. Our clients will benefit through the combined knowledge, product [...]

Evaluating possible exclusion matches with limited information

Q) What should we do when there is sparse information in the federal or state database for us to evaluate as a potential match? A) This most commonly occurs with the SAM database entries, because SAM often provides first and last name only. [NOTE: Zebu staff will be so excited when SAM passes dates of […]

What is a Compliance Program?

A compliance program is a set of internal policies and procedures that helps your organization comply with the law in its daily operations. A proactive plan helps you maintain compliance with today’s regulations, as well as providing a framework for implementing future requirements. Effective compliance programs share the following common [...]

How important is proper documentation in the medical record to support a claim?

Buried in documentation?  Looking to save yourself time and trouble?  Rather than cutting corners and skipping paperwork, you’ll actually save time and significant risks if you commit to full and proper documentation in the medical record to support each submitted claim.   If the records do not substantiate the service reported and show [...]

Coding Updates Announced for July 2018

CPT and HCPCS codes are updated quarterly. On May 11, 2018, CMS released Transmittal 4025, which describes HCPCS coding changes effective July 1, 2018. The following new HCPCS codes will be established: Q9991 Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg Q9992 Injection, buprenorphine extended-release [...]

Why Should You Search State Exclusion Databases?

You know the OIG (Office of Inspector General) LEIE (List of Excluded Individuals/Entities) is the federal database for all Medicaid sanctions. However, did you know that many states maintain separate sanction/exclusion databases as well? These are investigations conducted by the state Medicaid offices, which do not always include [...]