Office of Billing Compliance - March 2016
Final Rule for Medicare Reporting and Returning of Self-Identified Overpayments, Florida Medicare Carrier First Coast Prepayment Review of Evaluation and Management Codes, OIG Issues Guidance Related to Free and Discounted Prescription Drugs Provided to Patients, Billing for Services and Managing Funds in a Clinical Trial,False Claims Act March 2016 ?????Office of Billing ComplianceProfessional ComponentEffective March 15, 2016 Florida Medicare Carrier First Coast Announced the Prepayment Review of Evaluation and Management Codes 99215, 99232, 99233 and 99291 ?Have a Question?Call us at 305-243-5842 or email officeofbillingcompliance@med.miami.edu99215Prepayment Review of Evaluation and Management Code 99215The CPT? book defines code 99215 as follows: Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components:A comprehensive history A comprehensive examination Medical decision making of high complexity Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family needs Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.Please make sure that when you submit a claim for CPT code 99215, the documentation supports this level of service.First Coast and the Centers for Medicare & Medicaid Services (CMS) offer multiple resources addressing the documentation guidelines for E/M service levels at:99232 and 99233 (Internal Medicine and Cardiology Only)Prepayment Review of Evaluation and Management Codes 99232 and 99233The CPT? book defines code 99232 as follows:Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components:An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient?s and/or family needs.Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 25 minutes are spent at the bedside and on the patient?s hospital floor or unit.Please make sure that when you submit a claim for CPT codes 99232, the documentation supports this level of service.?The CPT? book defines code 99233 as follows:Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components:A detailed interval history; A detailed examination; Medical decision making of high complexity Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient?s and/or family needs.Usually, the patient is unstable or has developed a significant new problem. Typically, 35 minutes are spent at the bedside and on the patient?s hospital floor or unit.Please make sure that when you submit a claim for CPT code 99233, the documentation supports this level of service.First Coast and the Centers for Medicare & Medicaid Services (CMS) offer multiple resources addressing the documentation guidelines for E/M service levels at:99291 (Critical Care, Evaluation and Management of the Critically Ill or Critically Injured patient; First 30-74 Minutes)Prepayment Review of Evaluation and Management Code 99291The CPT? book defines code 99291 as follows:Critical care involves high complexity decision making to assess, manipulate, and support vital system function(s) to treat single or multiple vital organ system failure and/or to prevent further life threatening deterioration of the patient?s condition.Examples of vital organ system failure include, but are not limited to: central nervous system failure, circulatory failure, shock, renal, hepatic, metabolic, and/or respiratory failure. Although critical care typically requires interpretation of multiple physiologic parameters and/or application of advanced technology(s), critical care may be provided in life threatening situations when these elements are not present. Providing medical care to a critically ill, injured, or post-operative patient qualifies as a critical care service only if both the illness or injury and the treatment being provided meet the above requirements.Reminder:Before submitting claims for Critical Care Services 99291 ? 99292, make sure:Time providing Critical Care Services is documented Critical care is medically necessary (Services provided that do not meet the requirements for critical care or services provided for a patient who is not critically ill or injured in accordance with the critical care criteria, but who happens to be in a critical care, intensive care, or other specialized care unit should be billed using another appropriate E/M code e.g., subsequent hospital care, CPT ? codes 99231 - 99233). The resident/fellow?s time cannot be counted towards critical care services billed. Only the Teaching Physician time is counted towards a billable critical care service.First Coast and the Centers for Medicare & Medicaid Services (CMS) offer multiple resources addressing the documentation guidelines for E/M service levels at:First Coast?s Evaluation and Management (E/M) services page, offering links to tools, frequently asked questions (FAQs), online learning, and additional resources. CMS Internet-only manual (IOM) guidelines file addressing multiple types and settings pertaining to E/M services. Effective April 7, 2016 Florida Medicare Carrier First Coast Announced the Prepayment Review of Evaluation and Management Codes 99204 and 9920599204Prepayment Review of Evaluation and Management Code 99204CPT? book defines code 99204 as follows:Office or other outpatient visit for the evaluation and management (E/M) of a new patient, which requires at least three of these three key components:A comprehensive history A comprehensive examination Medical decision making of moderate complexity. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family. Please make sure that when you submit a claim for CPT code 99204, the documentation supports this level of service.First Coast and the Centers for Medicare & Medicaid Services (CMS) offer multiple resources addressing the documentation guidelines for E/M service levels at:99205Prepayment Review of Evaluation and Management Code 99205The CPT? book defines code 99205 as follows:Office or other outpatient visit for the evaluation and management (E/M) of a new patient, which requires at least three of these three key components: A comprehensive history A comprehensive examination Medical decision making of high complexity. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family. Please make sure that when you submit a claim for CPT code 99205, the documentation supports this level of service.First Coast and the Centers for Medicare & Medicaid Services (CMS) offer multiple resources addressing the documentation guidelines for E/M service levels at:First Coast?s Evaluation and Management (E/M) services page, offering links to tools, frequently asked questions (FAQs), online learning, and additional resources. CMS Internet-only manual (IOM) guidelines file addressing multiple types and settings pertaining to E/M services. Effective April 7, 2016 Florida Medicare Carrier First Coast Announced the Post-Payment Review of Evaluation and Management Code 99214 Post-payment Review of Evaluation and Management Code 99214The CPT? book defines code 99214 as follows:Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three components:A detailed history A detailed examination Medical decision making of moderate complexity Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family. Please make sure that when you submit a claim for CPT code 99214, the documentation supports this level of service.First Coast and the Centers for Medicare & Medicaid Services (CMS) offer multiple resources addressing the documentation guidelines for E/M service levels at:First Coast?s Evaluation and Management (E/M) services page, offering links to tools, frequently asked questions (FAQs), online learning, and additional resources. CMS Internet-only manual (IOM) guidelines file addressing multiple types and settings pertaining to E/M services. Two New E/M Codes in 2016 for Prolonged ServicesTwo New E/M Codes in 2016 for Prolonged Services provided by the Clinical Staff supervised by the Physician or NPP in an Office Setting (POS 11)Codes 99415, 99416 are used when a prolonged evaluation and management (E/M) service is provided in the office or outpatient setting that involves prolonged clinical staff face-to-face time beyond the typical face-to-face time of the E/M service, as stated in the code description. The physician or qualified health care professional (NPP) is present to provide direct supervision of the clinical staff. This service is billed in addition to the designated E/M services and any other services provided at the same session as E/M services. The staff in the physician?s office must be an expense to the physician practice. Example: Education for a new medication, therapy, or options for care that go far beyond the time spent on the E/M by the physician, but that does not have to be provided by the physician.Prolonged Services99415: Prolonged clinical staff service (the service beyond the typical service time) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour (List separately in addition to code for outpatient Evaluation and Management service) (Use 99415 in conjunction with 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215) (Do not report 99415 in conjunction with 99354, 99355) 99416: each additional 30 minutes (List separately in addition to code for prolonged service) (Use 99416 in conjunction with 99415) Prolonged service of less than 45 minutes total duration on a given date is not separately reported because the clinical staff time involved is included in the E/M codes. Example: Prolonged clinical staff services for 99214 begin after 25 minutes, and 99415 is not reported until at least 70 minutes total face-to-face clinical staff time has been performed.When face-to-face time is non-contiguous, use only the face-to-face time provided to the patient by the clinical staff. Code 99416 is used to report each additional 30 minutes of prolonged clinical staff service beyond the first hour. Code 99416 may also be used to report the final 15-30 minutes of prolonged service on a given date. Prolonged service of less than 15 minutes beyond the first hour or less than 15 minutes beyond the final 30 minutes is not reported separately. Codes 99415, 99416 may be reported for no more than two simultaneous patients. Facilities may not report 99415, 99416. 99415 will be reimbursed by Medicare at $9.77 and 99416 will be reimbursed at $1.26. Please remember the time needs to be documented when prolonged service is billedEvaluation and Management (E/M) Frequently Asked Questions (FAQs)Documentation:Question: Where are the documentation guidelines for what constitutes a face to face visit for a shared service between a physician and an NPP?Answer: Guidelines regarding split/shared visits can be found within the CMS Internet-only manual (IOM), Publication 100-04 Medicare Claims Processing Manual, Chapter 12, and Section 30 Question: Where can I find more information about evaluation and management?Answer: Additional information about evaluation and management can be found in the First Coast Service Option website.medicare. Key Components-History:Question: If my office uses an E/M questionnaire for the Past, Family and Social History (PFSH) and Review of Systems (ROS), is it mandatory that the physician sign and date the form?Answer: It is mandatory that the physician?s documentation clearly indicates that the forms have been reviewed by him/her, and that any follow-up on positive and pertinent negative responses is documented. Source medicare. Question: Can I document the most clinically relevant systems and then say "all other systems reviewed are negative" in order to qualify for a complete (10 system) ROS? Answer: This would be allowed if all other systems were, indeed, reviewed and are negative, and if a complete ROS is medically necessary. Source medicare. Question: Can I use the HPI elements to describe acute or chronic diseases? For example, if I say, ?The patient is here to be evaluated for severe HTN discovered two weeks ago?, would I get credit for two HPI elements (severity, duration)? Answer: Yes, credit would be given as indicated. Source medicare. Examination:Question: Do you use the numeric conversion for the 1995 E/M guidelines (i.e., problem focused exam: one system and/or body area, EPF exam: 2-4 organ systems and/or body areas, Detailed exam: 5-7 body areas and/or organ systems, Comprehensive: 8 organ systems)? Answer: The 1995 guidelines do not specify exact numbers -- problem focused implies one system/area, and only comprehensive has a numeric indication (8). Source medicare.Medical Decision MakingQuestion: Is prescription drug management enough to establish a moderate level of risk for medical decision-making? Answer: The assessment of risk of selecting diagnostic procedures and management options is based on the risk during and immediately following any procedures or treatment. The highest level of risk in any one category determines the overall risk. Source medicare.Question: In medical-decision making, how does one determine further work-up under ?number of diagnoses?? Answer: A key element of the medical-decision making category includes management decisions made by the physician to determine a diagnosis and treatment. Evidence of further work-up within documentation would include: indicating a problem is worsening/probable and/or listing possible management options, advice sought, referrals or consultations, and the initiation of or change in treatment. Source medicare.Question: Can I refer to someone else?s dictated note and get credit for those parts of the history I reviewed? Answer: Yes - review of ?old records? is part of the medical decision-making process. Source medicare.Genetic Counselors Billing ComplianceFor Medicare and Medicaid:?Incident to? billing enables certain categories of non-physician health care providers to bill through a supervising physician. Medicare permits this type of billing for the following non-physician practitioners: Clinical Psychologists, Physician Assistants, Nurse Practitioners, Clinical Nurse Specialists, Nurse Midwives, and Certified Registered Nurse Anesthetists. Genetic Counselors are not included, therefore cannot bill Medicare using "Incident to". For Third-Party Contracted Plans Who Reimburse Genetic Counseling Services Provided by Genetic Counselors, the following are the requirements:The attending physician must see and evaluate the patient - first visit, order and review tests based on the findings; Then order the genetic counseling (performed by the Genetic Counselor under direct supervision) and billed with the appropriate Evaluation and Management code under the physician?s name and provider number. Screening for the Human Immunodeficiency Virus (HIV) Infection The Centers for Medicare & Medicaid Services (CMS) has determined that the evidence is adequate to conclude that screening of HIV infection for all individuals between the ages of 15-65 years is reasonable and necessary for early detection of HIV, and it is appropriate for individuals entitled to benefits under Part A or enrolled in Part B. Please click here for the full Medicare Learning Network-Screening for the Human Immunodeficiency Virus (HIV) Infection article. Preventive ServicesEffective March 7, 2016, Medicare will recognize new code G0475 as a new covered service for human immunodeficiency virus (HIV) screening for dates of service on and after April 13, 2016. [MM9403] Please click here for the full article.New Values for Incomplete Colonoscopies Billed with Modifier 53Effective for services performed on or after January 1, 2016, the Medicare Physician Fee Schedule (MPFS) database will have specific values for (CPT) codes 44388-53; 45378-53; G0105-53; and G0121-53. Please click here for the full article. Advance Care Planning (ACP) ServicesEffective January 1, 2016 CMS established Medicare payment for two ACP services.CPT Codes 99497 and 99498. ACP services involve face-to-face discussions of long-term treatment options and planning between a physician or other qualified health care professional and the patient, family member, or a surrogate. These services are not limited to particular physician specialties and may be furnished by physicians or non-physician practitioners (NPPs) whose scope of practice includes these services and who may independently bill Medicare. These services may be rendered in several facility settings including, POS 19, 21, 22, 23 and 11.These are time-based codes, therefore TIME must be documented.ACP services may be billed on the same day as other evaluation and management services, during the same service period as transitional care management or chronic care management services and within global surgical periods, with modifier - 24. They may also be provided during an annual wellness visit (AWV) when billed separately with modifier -33 (preventive services). When these services are provided as part of an AWV, the Medicare the Part B deductible and coinsurance will be waived; when provided separately from an AWV, patients will be responsible for standard Part B deductible and co-insurance. ACP services may not be billed on the same day as critical care services, including neonatal and pediatric critical care.Medical Policy NewsScanning computerized ophthalmic diagnostic imaging (SCODI)The Medicare policy for Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) was revised to add ICD-10-CM diagnosis codes H40.032 and H40.033 to the ?ICD-10 Codes that Support Medical Necessity? to support Current Procedural Terminology (CPT?) code 92132. In addition, the language was revised to the ?Indications of Coverage for Posterior Segment SCODI? section, to clarify retinal disease coverage.Effective February 18, 2016, for services rendered on or after October 1, 2015.Coding guidelines for an LCD (when present) may be found by selecting ?Attachments? in the ?Section Navigation? drop-down menu at the top of the LCD page. Source medicare.?2016 Revised Florida Medicare Physician Fee ScheduleBroward, Collier and Palm BeachFlorida Locality 03 Miami and Monroe CountiesFlorida Locality 04 Revised 2016 Physician Fee Schedule Conversion FactorThe Centers for Medicare & Medicaid Services (CMS) reissued the 2016 Medicare physician fee schedule (PFS) after making a series of technical corrections. The 2016 PFS conversion factor was reduced slightly from $35.8279 to $35.8043. CMS also revised the relative values of certain codes and corrected invalid or missing payment indicators for several procedure codes CMS previously put in place a hold on processing claims for dates of service after Jan. 1, 2016. However, this hold is not expected to interrupt provider cash flow, as under current law. Non-Physician Specialty Code for DentistsCMS has established a new physician specialty code for Dentist (C5), which will become effective on July 1, 2016. Please click here to access the CMS manual.Florida Medicaid Zika Virus and Pregnancy UltrasoundsThis alert is to provide guidance for health care providers caring for pregnant women relating to the Zika virus.According to the Centers for Disease Control and Prevention interim guidelines dated 2/12/2016:All pregnant women with a history of travel to an area with ongoing Zika virus transmission should be tested for infection If positive or inconclusive then consider serial fetal ultrasounds, and consider amniocentesis If negative, one fetal ultrasound should be performed to detect microcephaly or intracranial calcifications If microcephaly or intracranial calcifications are present, then retest pregnant women and consider amniocentesis If negative for microcephaly or intracranial calcifications, then continue with routine prenatal care Florida Medicaid reimburses for up to four routine ultrasounds for pregnant women. Florida Medicaid reimburses for additional ultrasounds, when medically necessary and they are prior authorized. Providers rendering services to recipients in the fee-for-service delivery system should request authorization through the Agency?s contracted quality improvement organization, eQHealth Solutions (for more information, please visit Providers rendering services to recipients enrolled in a Medicaid health plan should refer to the Medicare Managed Care plans for service authorization requirements/procedures.???Ambulatory Surgical Centers (ASC)April Update of the ASC Payment SystemEffective date: April 1, 2016Implementation date: April 4, 2016SummaryEffective April 1, 2016 there are changes to billing instructions for various payment policies affecting Ambulatory Surgical Center (ASC) payment system update.Many ASC payment rates under the ASC payment system are established using payment rate information in the Medicare physician fee schedule (MPFS). The payment files associated with this transmittal reflect the most recent changes to the 2016 MPFS payment, effective April 1, 2016. Changes scheduled with this update include:Nine new codes for reporting drugs and biologicals in the ASC setting; one existing code (J7503) will be separately payable The payment indicator (PI) for J0130 will change from "K2" (Drugs and biologicals paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS rate.) to "N1" (Packaged service/item; no separate payment made.) For more details, click here???Office of Billing ComplianceHospital ComponentCMS 6037-F Final Rule The Centers for Medicare & Medicaid Services (CMS) has published a final rule that requires Medicare Parts A and B health care providers and suppliers to report and return overpayments within 60 days after the date an overpayment was identified, or the due date of any corresponding cost report, if applicable. The major provisions of this final rule include clarifications around: the meaning of overpayment identification; the required lookback period for overpayment identification; and the methods available for reporting and returning identified overpayments to CMS. For additional information click and on OIG Issues Guidance Related to Free and Discounted Prescription Drugs Provided to Patients HHS Office of Inspector General (OIG) recently clarified its guidance related to the provision of free or discounted prescription drugs in two contexts:hospital discounts or waivers of self-administered drugs in outpatient settings, and charity patient assistance programs for specialty drugs. OIG Guidance on Hospital Discounts or Waivers of Self-Administered Drugs Dispensed in Outpatient SettingsIn a Policy Statement dated October 29, 2015, OIG clarifies that hospitals will not be subject to administrative sanctions for discounting or waiving amounts owed by Medicare patients for self-administered drugs (SADs) in outpatient settings. Medicare Part B covers drugs that are furnished ?incident to? a physician?s service provided that the drugs are not usually self-administered by the patients who take them; therefore, SADs are typically not covered by the Part B in outpatient settings, including SADs that may be covered under Medicare Part D provided that the hospital complies with the following:Hospitals cannot market or advertise the waivers or discounts; The exception applies only to discounts on, or waivers of, amounts Medicare patients owe for non-covered SADs that the patients receive for ingestion or administration in outpatient settings; Hospitals must uniformly apply their policies regarding discounts or waivers on non-covered SADs (e.g. without regard to a beneficiary?s diagnosis or type of treatment); and Hospitals must not claim the discounted or waived amounts as bad debt or otherwise shift the burden of these costs to the Medicare or Medicaid programs, or other payers, or individuals. It is important to note that OIG makes clear that its Policy Statement does not require hospitals to discount or waive amounts owed by Medicare patients for non-covered SADs received in outpatient settings.Medicare Finalizes New Joint Replacement Hospital Payment ModelThe Centers for Medicare & Medicaid Services (CMS) issued a final rule implementing the Comprehensive Care for Joint Replacement (CJR) payment model for lower-extremity joint replacement (LEJR) episodes of care. The model is scheduled to start April 2016 for hospitals in 67 geographic areas. LEJR episodes will begin with a hospitalization and end 90 days-post discharge. Episodes will include Part A and B services with the exception of unrelated clinical care. Depending on the participant hospital?s quality and episode spending during a performance year, hospitals may retrospectively receive an additional payment from Medicare or be required to repay Medicare for a portion of the episode spending. All providers and suppliers will continue to be paid under the usual payment system rules and procedures of the Medicare program for services throughout a performance year. To learn more about CJR, view CMS' fact sheet 2016 Inpatient-Only ListInpatient-only procedures are those that CMS has determined providers must perform on an inpatient basis because they are invasive and require at least 24 hours of postoperative recovery time or monitoring. These procedures are also performed on patients with serious underlying conditions. The complete list of inpatient-only procedures is available in the OPPS final rule and is updated annually. Please click on the link below for the list of inpatient-only procedures.Please click here to view the Inpatient Only ListMedical Policy News: G-CSF (Neupogen?, Granix?, Zarxio?) This article serves to clarify that the effective date for the addition of HCPCS code Q5101 to the G-CSF (Neupogen?, Granix?, Zarxio?) LCD is July 1, 2015 Please click on the link to view the full article. G-CSF (Neupogen?, Granix?, Zarxio?) -- clarification related to HCPCS code Q5101 ???Research Billing ComplianceBilling for Services and Managing Funds in a Clinical Trial Clinical Research Billing Compliance:Some pitfalls to avoid when billing for services and managing funds in a clinical trial:Double Billing or ?Double Dipping? - if a claim is submitted to and paid by a third party payer or Medicare AND the sponsor reimburses for all or some of the same service, this is considered double dipping and may constitute fraud.Waiving co-payments and offering free services to volunteers in clinical trials is a violation of government regulations. For more information click here.Qualified Clinical Trial Cost Types That Are Not Billable to Subjects or InsuranceThe following qualified clinical trial cost types cannot be billed to subjects or insurance, and must be paid by the study sponsor or covered by other appropriate funding source:Any item/service that is: promised free in the informed consentcustomarily provided by the research sponsor free of charge for any enrollee in the trial The investigational item/service that is the objective of the clinical trial unless it is otherwise covered outside the study or by other CMS coverage determination. Protocol activity/items/services that are not for the direct clinical safety and management of the subject at the time of the order (e.g., consent, inclusion/exclusion labs/imaging/services, research-only protocol activity, monthly CT scans for a condition usually requiring only a single scan). ???Regulatory ComplianceFalse Claims ActImposes civil liability on any person who knowingly submits, or causes to be submitted, a false or fraudulent claim to the Federal Government. Protects the Federal Government from being overcharged or sold substandard goods or services. Penalties may include imprisonment, exclusion from federal healthcare programs and fines of up to three times the amount of damages sustained by the Government as a result of the false claims plus $11,000 per claim filed. Fines add up quickly because each claim can be a separate ground for liability. Examples of possible false claims include someone knowingly billing Medicare for services that were not provided, or for services that were not ordered by a physician, or for services that were provided at sub-standard quality where the government would not pay. Another example of a false claim would be billing Medicare or Medicaid for services that are covered or paid for by a study or grant. Announcements & Trainings Office of billing complianceAnnouncementsThis is a reminder that all CMS, RAC, AHCA, Cert, Zip and Managed Care audit requests, overpayment requests or any request for medical records correspondence should be forwarded to the attention of Osmany Rodriguez, Manager of External/Special Audits at the Office of Billing Compliance. Should you need to contact him, he can be reached via email at ORodriguez5@med.miami.edu. or at 305-243-5842. TrainingsThe Office of Billing Compliance 2016 Live Coding, Billing and Documentation Educational Sessions will begin on April 6, 2016. For more information, please contact our office at 305-243-5842. Date are listed below and are posted on our website, obc.med.miami.edu/Live-Sessions Upcoming 2016 Live Coding, Billing and Documentation Educational sessions:April 27, 2016 at 9:00am Highland Professional 240-Family Medicine April 27, 2016 at 10:45am RMSB 2090D-Dermatology April 27, 2016 at 3:00pm Batchelor Children Institute 2nd Floor-Medicine-Infectious Disease April 28, 2016 at 7:00am CRB 1539A-Urology April 28, 2016 at 12:00pm CRB 1080A-Medicine-Hospital Medicine April 28, 2016 at 5:30pm SCCC 1301-Medicine-Hemetology Oncology May 17, 2016 at 7:30am JMH West Wing 279-Interventional Radiology May 17, 2016 at 12:00pm CRB 975-Medicine-Infectious Diseases May 18, 2016 at 8:30am SCCC 1301-Medicine-Hematology Oncology May 18, 2016 at 12:00pm Mailman 8th Floor Auditorium-Pediatrics May 19, 2016 at 7:00am CRB 989-Otolaryngology June 14, 2016 at 12:00pm Holtz Children's Hospital Pathology Large Conference Room 2034-Pathology June 14, 2016 at 5:30pm Mailman 8th Floor Auditorium-Medicine-Gastroenterology June 14, 2016 at 7:00am Mailman 8th Floor Auditorium-Surgery June 14, 2016 at 5:00pm Mailman 8th Floor Auditorium-Physical Medicine & Rehab August 24, 2016 at 7:30am SCCC 1301-Medicine-Gastroenterology & Hepatology August 24, 2016 at 6:00pm Retter Auditorium-Ophthalmology August 25, 2016 at 6:45am RMSB 3rd Floor-Anesthesiology August 25, 2016 at 8:00am LPLC 7th Floor-Neurological Surgery August 25, 2016 at 5:00pm Mailman 8th Floor Auditorium-Orthopaedics September 12, 2016 at 4:00pm DRI 1000-Medicine-Endocrinology September 13, 2016 at 9:00am Mailman 8th Floor Auditorium-Surgery September 13, 2016 at 5:00pm Mailman 8th Floor Auditorium-Psychiatry September 21, 2016 at 7:00am JMH West Wing Room 279-Diagnostic Radiology September 21, 2016 at 12:00pm TBA-Neurology September 21, 2016 at 6:00pm Mailman 8th Floor Auditorium-Surgery September 22, 2016 at 7:00am RMSB 5th Floor-OB GYN September 22, 2016 at 12:00pm SCCC 1537-Radiation Oncology September 22, 2016 at 5:30pm SCCC 1301-Medicine-General, Internal, Geriatric and CHDS September 26, 2016 at 7:00am JMH West Wing Room 279-Diagnostic Radiology September 26, 2016 at 12:00pm SCCC 1537-Radiation Oncology September 26, 2016 at 5:00pm Mailman 8th Floor Auditorium-Medicine-Pulmonary Online TrainingThe Office of Billing Compliance has an on-line learning module to promote the prevention, detection and correction of Fraud, Waste and Abuse. All UHealth/Miller School of Medicine faculty and staff are required to complete it annually.The required computer-based learning (CBL) module is titled Fraud, Waste and Abuse and is accessed by logging in to ULearn, the University?s learning management system.Please follow the steps below to access the Fraud, Waste and Abuse CBL:Click . to log in to ULearnClick on ?Transcript?Locate the ?Fraud, Waste and Abuse? CBL and click ?Launch?Medical Compliance ServicesWho are we?Gemma Romillo, Assistant Vice President, Billing Compliance and HIPAA Privacy OfficerIliana De La Cruz, Executive Director, Professional Billing ComplianceMaria Suarez, Executive Director, Hospital Billing ComplianceHelen Blake, Executive Director, HIPAA Privacy Office Nazanin Tondravi, Associate Director, Regulatory ComplianceWhere are we?Don Soffer Clinical Research Center1120 NW 14 Street, 12th Floor, Suite 1289, Miami, FL 33136 (Locator D-24)How do you reach us?Tel: 305-243-5842Fax: 305-243-6487Email: officeofbillingcompliance@med.miami.eduWeb: make a report, visit the 'Cane Watch website at canewatch. or call toll free 877-415-4357Office of Billing ComplianceDon Soffer Clinical Center1120 NW 14 Street, 12th Floor, Suite 1289 (D-24): 305-243-5842Fax: 305-243-6487Printer-friendly version at ? ................
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