CMS Nursing CoP

AHA Decries Regulatory Burdens on Providers

Duplicative, Inefficient and Outdated Rules Include CoPs

Federal rules are directed toward healthcare providers to make sure they provide safe and high-quality care, but calls for decreasing regulatory burdens are growing louder, targeting new rules that consultants and providers say do little to improve healthcare and result in lots of raised costs. More..

Ob/Gyn CPT Codes Changes

Updates to CPT® Mean Changes For Ob/Gyn Coding

New, Revised and Deleted Codes Crucial for Full Reimbursement in 2018

The 2018 CPT® manual includes a total of 314 code changes ranging from revised observation visits in the E/M chapter to new photodynamic therapy services in the Medicine chapter—and two new modifiers. Physicians, midwives, clinical nurse specialists, coders, billers, office managers and clinical staff need More..

Ophthalmology Coding Updates

Focus on 2018 Ophthalmology Coding Updates Now

It’s Not Too Late to Learn the ICD-10 and CPT® Changes

Hindsight is 20/20, especially as you reflect on your 2017 eye care services coding. As you ponder things you wish you knew at the start of the year that would have made a difference in your claims accuracy, don’t wallow in regrets—see it as a More..

Bunionectomy Codes

Bunionectomy Codes Keep Coders on Their Toes

Don’t Let Complicated Foot Anatomy Trip You Up

This year has been a big one for bunionectomy coding, with two codes being added, six revised, and three deleted. Proper names for various procedures were removed, and “with or without sesamoidectomy” was changed to “sesamoidectomy, when performed” for clarification purposes. The fact that there More..

CPT Code Changes

2018 CPT® Coding Changes Hit E/M Services Hard

New Categories Introduced, Other Codes Eliminated

Each year CPT® codes are revised and updated to accommodate current terminology, technology and practice. And 2018 is no different: According to the American Medical Association (AMA), the new year will see a number of code changes taking effect. Keeping up with the vast number More..

Provider-Based Clinics Rules

Popularity of Provider-based Clinics Accompanied by New Rules

With Increased Revenue Comes a New Maze of Rules and Regulations

The Centers for Medicare & Medicaid Services (CMS) in November published its final Medicare physician fee schedule rule for calendar year 2018, and clinic administrators, coders, financial analysts, compliance personnel, claims transaction personnel and charge masters involved in provider-based clinics need to pay close attention More..

HIPAA Compliance

Taking Your Data to the Cloud? Navigating HIPAA Requires Caution

New Compliance Programs Will Force Better Internal Privacy Maintenance Plans

Is Amazon’s AWS HIPAA-compliant? That’s a good question with an evolving answer, and a pertinent question, too, since, according to Amazon, “A large and growing number of healthcare providers, payers and IT professionals are using AWS’s utility-based cloud services to process, store, and transmit PHI.” More..

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