General Membership Meeting Program set for November 7
Updates on Medicare's Section 111 reporting and on recently adopted mediation requirements in South Carolina will be the focus of our November 7 meeting at Seawell's in Columbia. The program is open only to members of the South Carolina Self-Insurers Association.
Ben Pugh of Franco Signor will cover changes initiated by the recently enacted SMART Act and its impact on Medicare compliance. He will also provide an update on the new recovery audit contractor, and on penalties associated with reporting errors.
Separately, the Centers for Medicare and Medicaid Services has put Responsible Reporting Entities on alert "in general" they will be required to submit ICD-10-CM diagnosis codes on claim reports with a CMS Date of Incident on or after April 1, 2015. The agency, and the healthcare industry, will adopt ICD-10 beginning October 1, 2014.
Although workers’ compensation is not required to make the switch from the current ICD-9 to ICD-10, CMS says on its website it would be in the industry's "best interest" to use the new coding system. The agency adds it will "work with non-covered entities to encourage their use" of ICD-10.
Also on the agenda for the November 7 meeting, a report from Chairman Scott Beck on the mediation initiative and other developments at the SC Workers’ Compensation Commission. In addition, the program will include case law update and a presentation on the use of social media to investigate workers’ comp claims.
Courts have ruled social media evidence admissible can include photographs, status updates, people's location at a certain time, and direct communications to a defendant's social media accounts, among others.