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..
Healthcare workers are continually challenged to remain compliant with the ever changing regulations that impact the services they provide, but it seems the hospice industry has been particularly impacted by new regs and changes in the recent year that are now going into effect. Final More..
Telehealth continues to grow in popularity and demand – both patients and doctors want to use it in novel ways, including during disasters, to fight opioid addiction, and in complicated federal payment programs for hip and knee replacement surgeries. When building a telemedicine practice, providers More..
“Data integrity” isn’t just something for banks and credit reporting agencies to track – it’s also a big deal for drug makers. The U.S. Food and Drug Administration (FDA) has made data integrity a key part of its Current Good Manufacturing Practice (CGMP) regulations, and More..
The benefits and drawbacks of telemedicine are often specific to each provider and each practice, but there are some common, cross-specialty considerations. In this post, the third in our series on telehealth and telemedicine, we’ll look at some of the pros and cons of bringing More..
Medical groups, payers, hospitals and health systems are being inspired by healthcare reform and new payment trends to consider new compensation models. While quality, efficiency and cost management will surely improve, and providing value-based care will be enhanced, the shift is also setting up new More..
A little-known law enacted by Congress during the Carter administration is finding some traction today as the federal government seeks to close off skyrocketing health insurance costs – and as enterprising businesses seek to help out. In a Medicare Secondary Payer (MSP) situation, another party More..
Telemedicine and telehealth continue to grow in popularity and are the subjects of recent legislation in New York and Texas, both of which acted to make remote medical services easier to provide. Better suited to some practices and specialties than others, though, telemedicine is best More..
While appealing denied Medicare claims is a resource-draining task, the risk of doing nothing is far greater. In fact, if your medical practice can’t show that you attempted to appeal a problematic claim, you’ll appear to be unaware of potential compliance issues. That may be More..
Recent changes to OASIS C2 – the Outcome and Assessment Information Set – are not making things easier for home health providers, and despite repeated assurances that the market is ripe, more guidance is needed if the home health industry is going to master this More..