The Centers for Medicare & Medicaid Services’ (CMS) hospital compliance requirements are ever-changing and evolving. But sometimes, the CMS Hospital Conditions of Participation (CoP) requirements and Hospital Inpatient Prospective Payment System (IPPS) rule revisions change for the better. Case in point: You can expect changes More..
CPT® coding of Injection and Infusion services isn’t easy for newbies and veteran coders alike. You have a myriad of overlapping and intertwining coding rules to follow, which makes proper selection of CPT® codes about as clear as mud. At the same time, accurate coding More..
You know you have to comply with the requirements and protections under the Health Insurance Portability and Accountability Act (HIPAA) as a U.S. healthcare provider, but what about the General Data Protection Rule (GDPR)? You might be surprised to learn that the GDPR may apply More..
If you’re running into problems when reporting CPT code 29826 for acromioplasty, you’re not alone. Follow these expert tips to ensure that you’re coding properly and avoid unnecessary claim denials. Crucial: The most important thing to remember when reporting code 29826 is that it’s not More..
From CPT® and ICD-10-CM code updates, to significant revisions to Medicare guidelines, you have a lot to contend with for your cardiology practice’s coding and billing in 2019. Here are some of the most important changes that you need to know. For 2019, you’ll face More..
No healthcare provider is immune from claims denials. But if you take the right corrective actions and draft an appeal letter using certain strategies, you can recapture the reimbursement you deserve. If your medical practice faces claims denials, you’re not alone – but you can More..
Modifier 25 used to be your friend, but it may soon become your biggest foe when reporting 2019 CPT codes. Now, government and private payers alike are flagging claims involving modifier 25 for denials and severe payment cuts. Get the guidance you need on modifier More..
If your hospital is dropping the ball on Emergency Medical Treatment and Active Labor Act (EMTALA) compliance, you could face severe consequences. And now the civil monetary penalties (CMPs) for EMTALA violations are much, much higher. Beware: More than 4,000 hospitals received deficiencies for failing More..
If your hospital is still struggling to comply with the final rule on Confidentiality of Substance Use Disorder Patient Records under 42 CFR Part 2, you’re certainly not alone. But don’t get lax on your compliance efforts. You could face severe penalties. Snapshot: This complicated More..
The Merit-based Incentive Payment System (MIPS) program has been around for a few years, but many clinicians and groups are still struggling with their compliance. And now you have another curveball thrown at you: The Bipartisan Budget Act of 2018 (BBA) will change several key More..