Filling out long, complicated forms is likely not a favorite task. Nevertheless, doing so is a critical part of your job if your facility treats Medicare patients. One (or, seven) of the forms you’ll see most is the set of paperwork known as CMS-855—and completing More..
From vaginal prolapse procedures to corrective urinary incontinence surgeries, your urology and gynecology coding may frequently overlap. And if you want to avoid denials and reap the reimbursement you deserve, you must have a solid understanding of the proper uro-gynecological coding mechanisms and clinical scenarios, More..
How closely related in your mind are the words “discharge planning” and “admission”? According to the Centers for Medicare and Medicaid Services (CMS), they should be closely related, if not intertwined, as you’ll find out in the latest hospital discharge planning webinar by health care More..
In case your head wasn’t spinning enough from all the recent 2019 ICD-10-CM and about-to-take-effect CPT® coding udpates, there are more changes in store! In fact, as you’ll find out in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP) More..
The New Year is heading our way fast, and with it are coming a bundle of oncology CPT® coding updates. For example, you’re in store for new codes for interprofessional consultations, BRCA gene analysis, and breast MRIs—as well as a new coding structure for fine More..
You have a lot of physician compliance changes to contend with in 2019, and you can’t slack off on your vigilance to minimize audit risk and stay out of hot water with the feds. One place you can go to uncover what the feds’ target More..
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..