When a physician or therapist believes that a patient will benefit from a durable medical equipment (DME) supply or brace, it’s up to the office staff to determine what healthcare common procedure coding system (HCPCS) code should be assigned for billing purposes. Unfortunately, there are More..
Around November 1, 2017, the Centers for Medicare & Medicaid Services (CMS) is expected to release its final rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) and its quality-based measures for paying providers. In June, the agency released a proposed rule that would More..
The Centers for Medicare & Medicaid Services posted changes to its State Operations Manual this year, and those involved in managing long-term care facilities will want to take a close look at it. Nursing directors, MDS personnel, administration personnel in nursing homes and interdisciplinary team More..
Podiatry does not often make the mainstream news, but two podiatrists have recently found themselves the recipients of some unwanted public attention. Podiatry coding mistakes are easy to make—don’t let your practice fall prey to improper billing allegations and compliance nightmares because of them. ‘Cheap More..
Coding and billing for breast surgical procedures can be challenging, especially when it comes to understanding clinical terminology for surgical and office-based breast care. Coders, billers, office managers, and clinical staff such as RNs and MAs all have a stake in improving documentation and submitting More..
The American Medical Association (AMA) has released the official 2018 CPT coding rules and guidelines, which include hundreds of code, guideline, and text changes in the codes that are universally used in the U.S. healthcare system to report services to providers, insurers and accrediting organizations. To More..
Ambulatory surgical centers (ASCs) continue to undergo decreasing reimbursements, increasing regulatory and industry changes, and other industry pressures. Many ASCs are uncertain of whether they should enter into contracts with insurers, including Medicare, or remain out of network. Here are some of the main things More..
Spinal cord stimulators (SCS) are generating a lot of buzz in the world of pain management. With new technology entering the market, and a serious push behind finding alternatives to dangerous opioids and expensive traditional back surgeries, new issues surrounding the use of SCS are More..
Navigating regulations is nothing new to physicians and other providers, but adding telemedicine capabilities to your practice will add a few new compliance concerns. From federal requirements at the Centers for Medicare & Medicaid Services (CMS) and privacy concerns under HIPAA to various state regulations More..
If your business imports food products into the United States, you’ve got new rules to follow! The U.S. Food and Drug Administration’s (FDA) Foreign Supplier Verification Programs (FSVP) final rule outlines the activities importers should perform to verify that food imported into the United States More..