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..
Physical and occupational therapy are in for big changes in the next few years, as even a cursory glance at the latest news from the Centers for Medicare & Medicaid Services (CMS) shows. Significant changes to payment, reporting, and billing will have serious consequences for More..
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..
HIPAA compliance: It’s an obligation healthcare facilities like yours are very familiar with, and yet its rules still cause confusion. With changes brought about by the rise in technology, it’s even tougher to get HIPAA right—and yet the cost of mistakes is only rising. Could More..
Pearls and pitfalls: Those may not be words you’re used to applying to urology billing and coding, but practical dos and don’ts—like those presented in the latest urology coding webinar by educator Michael Ferragamo—can help you stay on top of CPT® and ICD-10 code changes More..
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..
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..
Big changes in evaluation and management (E/M) coding have been in the works for a while—changes that you can learn about in depth in the upcoming AudioEducator webinar, “2019 CPT and CMS Changes for E/M,” presented by coding instructor Lynn Anderanin. Do expect these updates More..
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..
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..