Coding and billing accuracy has never been more critical to your practice’s financial survival. From the Medicare Access and CHIP Reauthorization Act (MACRA), which requires medical practices to submit specific data to meet value-based payment requirements, to the rise of high deductible health plans (HDHPs), More..
About 715,000 people died in U.S. hospitals in the last year of data, according to the Center for Disease Control’s (CDC) most recent estimates, and healthcare acquired infections (HAIs) result in billions of dollars in excess costs each year. HAIs are a top priority for More..
On Nov. 2, 2017, CMS published its final rule implementing the Quality Payment Program (QPP) under the Medicare Access and CHIP Reauthorization Act (MACRA). The final rule, which has a comment period through Jan. 1, 2018 and provides updates for QPP’s second (2018) and future More..
While CMS is not scheduled to release its final rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) until next week, there are some indications that major changes to its proposed rule, released June 30, 2017, could be in the works. Our first post 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..
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..
Spinal cord stimulators (SCS) are generating a lot of buzz in the world of
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..
While there may not have been many CPT code changes to the arthroscopy codes in recent years, Medicare and commercial insurance guidelines and policies continue changing due to the large amount of money insurance pays out for shoulder arthroscopy. It can be tough to keep More..