In CMS
Nov 16th, 2018
 CMS has said they plan on rolling out mandatory Medicare bundled payment models for cancer, and they are going to reconsider voluntary cardiac care bundled models, even though they had decided that cardiac care bundled care would not work. Bundled Models HHS Secretary Alex Azar indicated that although bundled payments for care is a voluntary ...
In Billing
Nov 15th, 2018
The Centers for Medicare & Medicaid Services (CMS) issued several blanket waivers, Nov. 13, for those who are evacuated, transferred, or otherwise displaced as a result of  the California wildfires. These waivers are retroactive to Nov. 8, and allow healthcare providers to continue caring for Medicare patients affected by the emergency without having to apply ...
In CMS
Nov 14th, 2018
Beginning in 2021, the Centers for Medicare & Medicaid Services (CMS) will collapse Medicare E/M payment, so that level 2-4 established outpatient visits 99212-99214 will be reimbursed at a single rate; and level 2-4 new outpatient visits (99202-99204) will be paid at a (different) single rate. The amount of those payments has yet to be ...
In CMS
Nov 14th, 2018
The Centers for Medicare & Medicaid Services (CMS) will hold a Medicare Learning Network (MLN) call on Monday, November 19 from 2:00 to 3:30 P.M. ET to discuss Key Topics related to the 2019 Physician Fee Schedule Final Rule. According to MLN, “CMS experts briefly cover three provisions and address your questions: Streamlining Evaluation and ...
In CMS
Nov 14th, 2018
Another opioid pill mill gets busted by the Medicare Fraud Strike Force. A “pain management clinic” in Hialeah, Florida, owned by David Bosch and Tania Sanchez, which operated under the name East Medical Office Inc., unlawfully distributed thousands of pills of oxycodone, during the period of April 2017-May 2018. It was a cash-only clinic, which remained ...