Hidden Traps: Understand How EMTALA Applies to Ambulances

Don’t overlook these often misunderstood regulation nuances

Beware: The feds are raising the stakes on Emergency Medical Treatment and Labor Act (EMTALA) violations – which should have hospitals rather nervous. In fact, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently doubled EMTALA fines. Don’t get More..

CMS CoP Standards

Hospitals: Get Ready for 2019 CMS CoP Standards

Key: Check out proposed changes for nursing

Do you know what 2019 has in store for hospital Conditions of Participation (CoP) standards? Hint: A lot! There are numerous changes on the horizon—especially those that will impact your nursing services. Centers for Medicare & Medicaid Services (CMS) deficiency reports have cited Nursing Services More..

OPPS Update

OPPS Update: Get the Scoop on the 2019 APC Final Changes

See the top 4 ASC evolutions that will impact your reimbursement

Prepare yourself for a major overhaul of the coding, billing, and payment rules for Ambulatory Surgical Centers (ASCs) under the Ambulatory Payment Classification (APC). These changes will have a significant impact on your reimbursement for medical services in each APC group. APC rules have not More..

MIPS Changes

Brace for the Top 10 MIPS Changes in 2019

Good news: Small practices will enjoy added bonuses

The New Year is about to ring in a giant load of compliance and coding changes—from ICD-10, CPT, and HCPCS code set updates to the OIG Work Plan. But while you’re digesting all these 2019 medical coding changes, don’t overlook the Merit-based Incentive Payment System More..

CPT Update

CPT Changes 2019: So Many Updates, So Little Time!

Why you should focus on E/M code changes in particular

Look out: There are more than 300 CPT® code changes for 2019, and although not all of the changes will directly affect your specialty, there is one group of new codes that will impact billers and coders across the land: Be sure you’re prepared for More..

Neurology Coding

Prepare Yourself Now for 2019 Neurology Coding Changes

Take a sneak-peek at the new, revised, and deleted neurology CPT® codes

Beginning on January 1, 2019, you’ll have a whole slew of updated neurology CPT® codes to contend with. And, as usual, these CPT® updates will have a big impact on your reimbursement: Your neurology practice won’t receive the payment it deserves if you don’t have More..